Dr TANNER M NIELSEN is a male medical professional, specializing in Psychologist, Clinical. He graduated in 2016.
INNOVATIVE HEALTH CARE CONCEPTS INC
111 E 16TH ST
IDAHO FALLS
ID
834045919
Tel: 2085231130
| Npi | 1346574464 |
| Pac Id | 0941568547 |
| Professional Enrollment Id | I20180102001770 |
| Last Name | NIELSEN |
| First Name | TANNER |
| Middle Name | M |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2016 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
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| Organization Legal Name | INNOVATIVE HEALTH CARE CONCEPTS INC |
| Group Practice Pac Id | 8628391117 |
| Number Of Group Practice Members | 7 |
| Line 1 Street Address | 111 E 16TH ST |
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| City | IDAHO FALLS |
| State | ID |
| Zip Code | 834045919 |
| Phone Number | 2085231130 |
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| Professional Accepts Medicare Assignment | Y |
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