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Diane Rae Nielsen, PAC
Pediatrics Physician in Idaho Falls, Idaho
NPI 1205940962

Diane Rae Nielsen is a Pediatrics Physician based in Idaho Falls, ID. Diane Rae Nielsen practices in Idaho Falls, ID and has the professional credentials of PAC. The NPI Number for Diane Rae Nielsen is 1205940962 and holds a License No. PA178 (Idaho).

The current practice location address for Diane Rae Nielsen is 3430 Washington Parkway, Idaho Falls, ID and can be reached out via phone at 208-523-3060 and via fax at 208-523-0028.

Location: 3430 Washington Parkway, Idaho Falls, ID, 83404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205940962
Provider Name
Diane Rae Nielsen
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
3430 Washington Parkway, Idaho Falls, ID, 83404
Phone Number
208-523-3060
Fax Number
208-523-0028
Provider Enumeration Date
08/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PAKY2 01 ID BLUE CROSS
004378700 05 ID
000010016257 01 ID BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
3430 Washington Parkway
City
Idaho Falls
State
Idaho
Zip
83404
Phone Number
208-523-3060
Fax Number
208-523-0028
person
Provider Business Mailing Address Details
Address
3430 Washington Parkway
City
Idaho Falls
State
Idaho
Zip
83404
Phone Number
208-523-3060
Fax Number
208-523-0028
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
PA178 (Idaho)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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