NPI 1003218611

Scott Nelson

Practitioner Medical Physician Assistant Puyallup, WA

Practice location

Address: 11102 Sunrise Blvd E STE 103, Puyallup, WA 98374-8846
Phone: (253) 848-8797
Mailing address: 15217 105th Avenue CT E, Puyallup, WA 98374-9748

Registered specialties (2)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA60597789 (WA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003218611
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Sep 2014
Record last updated: 10 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.