NPI 1245505858

Andrew Warren Nielsen, PAC

Practitioner Medical Physician Assistant Joint Base Lewis McChord, WA

Practice location

Address: 9040 Fitzsimmons Dr, Joint Base Lewis McChord, WA 98431-1000
Phone: (253) 968-1110
Mailing address: 8519 154th St E, Puyallup, WA 98375-8481

Registered specialties (2)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 12307 (GA)

Other Physician Assistant providers in Washington →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 12307 (GA)

Registry record

NPI: 1245505858
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Mar 2012
Record last updated: 6 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.