Dr. Jeremy Nielsen
Anesthesiologist
1200 N Beaver St
Flagstaff
, Arizona 86001-3118
Dr. Jeremy Nielsen
Anesthesiologist
1200 N Beaver St
Flagstaff
, Arizona 86001-3118
(928) 213-6292
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Dr. Jeremy Nielsen
- 1200 N Beaver St
- Flagstaff, AZ
- Zip : 86001-3118
- Fax : (928) 213-6292
- Phone : (928) 213-6235
Second Address
- Dr. Jeremy Nielsen
- 1200 N Beaver St
- Flagstaff, AZ
- Zip : 86001-3118
- Phone : (928) 779-3366
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207L00000X | Anesthesiologist | 50428 | AZ |
National Provider Identifier
| NPI | 1003127341 |
|---|---|
| Provider Name | Dr. Jeremy Nielsen |
| First Address | Flagstaff, AZ 86001-3118 |
| Second Address | Flagstaff, AZ 86001-3118 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2010 |
| Last Update Date | 11/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G8929499 | (02) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.