Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LOGAN NIELSON, PA-C
Active Sole ProprietorMR. LOGAN NIELSON, PA-C is a Medical Physician Assistant healthcare provider located in BURLEY, Idaho. NPI 1184199648 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BURLEY, ID
Registration Details
- NPI Number
- 1184199648
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 10, 2018 (7.8387590626052 yrs)
- Last Updated
- Oct 10, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
382 N OVERLAND AVEBURLEY, ID, 833183433Browse ID providers · Browse ZIP 83318
- Phone
- 2086786996
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in BURLEY, ID
| Name | Credential | NPI |
|---|---|---|
| ELLEN K JUDD | P.A. | 1972560480 |
| BRANDON POPE | PA-C | 1295105633 |
| JACOB WALKER | PA-C | 1033651989 |
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.