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Diane Nielsen, PA C — NPI 1205940962, Idaho Falls, ID | NPI Central

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NPI 1205940962

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Diane Nielsen, PA C

NPI 1205940962 · Pediatrics Physician · Idaho Falls, ID

Provider details

NPI number: 1205940962
Entity type: Individual
Primary specialty: Pediatrics PhysicianAllopathic & Osteopathic Physicians
Credential: PA C
Sex: Female
Sole proprietor: No
License: PA178 (ID)

Practice location

3430 Washington Parkway

Idaho Falls, ID 83404

Phone: (208) 523-3060

Fax: (208) 523-0028

More ID providers

Mailing address

3430 Washington Parkway

Idaho Falls, ID 83404

Registry dates

Enumerated: 2006-08-19
Last updated: 2009-09-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.