Whalio Doctors

NPI 1023671062

Jennifer Raae-Nielsen, MD

Practitioner Emergency Medicine Physician Burley, ID

Practice location

Address
1501 Hiland Ave, Burley, ID 83318-2688
Phone
(516) 593-1380
Fax
(516) 320-8983
Mailing address
PO Box 30180, Salt Lake City, UT 84130-0180

Registered specialties (4)

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence MD61478134 (WA)
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence A176525 (CA)
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence M-17282 (ID)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1023671062
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Apr 2019
Record last updated
26 Aug 2025

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.