Ty Nielson

Individual Active
NPI 1871988980
Medical Physician Assistant Phoenix, AZ

NPI 1871988980 belongs to Ty Nielson, a medical physician assistant with a practice location in Phoenix, AZ. The NPI was issued on April 6, 2015, and the record was last updated in NPPES on August 21, 2017.

This record hasn't been updated in NPPES since 2017. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X Not listed

Practice location

4425 E Agave Rd Ste 148
Phoenix, AZ 85044-0623
Phone: (480) 704-7546

Local context

Active NPPES records list 701 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 182 of them within 10 miles.

The same primary taxonomy is listed by 1,063 in Arizona and 40,194 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Ty Nielson
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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