Provider Demographics
NPI:1598975443
Name:NIELSEN, NANCY H (MD,)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:H
Last Name:NIELSEN
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7861 QUAKER RD
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-2061
Mailing Address - Country:US
Mailing Address - Phone:716-662-9185
Mailing Address - Fax:716-667-7522
Practice Address - Street 1:7861 QUAKER RD
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-2061
Practice Address - Country:US
Practice Address - Phone:716-662-9185
Practice Address - Fax:716-667-7522
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY133647207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine