Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRUCE RODERICK NIELSON
Active Sole ProprietorMR. BRUCE RODERICK NIELSON is a Medical Laboratory Technician healthcare provider located in RIDGEFIELD, Washington. NPI 1043600836 is currently active in the NPPES registry. Verify at CMS.
Medical Laboratory Technician · RIDGEFIELD, WA
Registration Details
- NPI Number
- 1043600836
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2015 (11.350833298998 yrs)
- Last Updated
- Jan 30, 2015
- Licenses
-
ST00001996 (WA)XT00004606 (WA)MA00153098 (WA)NA00153098 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
415 NE 194TH STUNIT 1RIDGEFIELD, WA, 986429496Browse WA providers · Browse ZIP 98642
- Phone
- 3609361096
- Fax
- 4252169433
- Primary Specialty
-
Medical Laboratory Technician
246ZS0410X
- Additional Specialty
- Radiologic Technologist
- Additional Specialty
- Technician, Health Information
- Additional Specialty
- Nurse's Aide
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.