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Contact Information

WENDELL T NILSON, MD
1240 E 100 S STE 14
SAINT GEORGE, UT84790-3005
 Phone: 435-634-0055
 Fax: 435-674-7994
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for WENDELL T NILSON · (Male)

NPI # 1205883576
Status Active
Credentials MD
Entity Individual
Enumeration date 05/30/2006
Last updated 02/16/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 167758-1205
  • UT License # 204952-4405
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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