IndividualActive
Kathryn Nielsen, NP
NPI 1619416674 · Primary Care Nurse Practitioner · Idaho Falls, ID
Provider details
- NPI number
- 1619416674
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 53441 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3910 Washington Parkway
Idaho Falls, ID 83404-7596
Phone: (208) 528-0253
Fax: (208) 523-5682
Approximate (ZIP-level) locationGet directions
Mailing address
3910 Washington Parkway
Idaho Falls, ID 83404-7596
Registry dates
- Enumerated
- 2017-02-22
- Last updated
- 2021-10-07
- Certified
- 2021-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.