NPI 1043527260

Evan Scott Nielsen, MD

Practitioner Orthopaedic Surgery Physician Provo, UT

Practice location

Address: 1055 N 500 W STE 121, Provo, UT 84604-3305
Phone: (801) 373-7350
Fax: (801) 812-5401
Mailing address: 1055 N 500 W Attn: Credentialing, Provo, UT 84604-3305

Registered specialties (2)

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 6047358-1205 (UT)

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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: 1043527260
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Sep 2010
Record last updated: 27 Nov 2023

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.