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NPI Code Detail

MEDICARE: MRS. ARYON MICHELLE NIELSEN PA-C

MEDICARE: MRS. ARYON MICHELLE NIELSEN PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPA65408CA

General Provider Information

NPI Number : 1477369510
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ARYON MICHELLE NIELSEN PA-C
Provider Business Mailing Address
First Line : 1095 MARSHALL WAY STE 100
Second Line :
City : PLACERVILLE
State : CA
Zip : 95667-5722
Country : US
Telephone Number : 530-626-2920
Fax Number :
Provider Business Practice Location Address
First Line : 1095 MARSHALL WAY
Second Line :
City : PLACERVILLE
State : CA
Zip : 95667-5722
Country : US
Telephone Number : 253-227-0379
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2024
Last Update Date : 12/07/2025

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Directions to “ MRS. ARYON MICHELLE NIELSEN PA-C” Practice Location

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