IndividualActive
Wayne Nielson, PA
NPI 1114253234 · Physician Assistant · Kanab, UT
Provider details
- NPI number
- 1114253234
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 4893858-1206 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
355 N Main St
Kanab, UT 84741-3260
Phone: (435) 644-4179
Fax: (435) 644-3588
Approximate (ZIP-level) locationGet directions
Mailing address
355 N Main St
Kanab, UT 84741-3260
Registry dates
- Enumerated
- 2009-10-23
- Last updated
- 2009-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.