Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Diane Rae Nielsen, PAC

Individual provider Pediatrics Physician · NPI 1205940962

Diane Rae Nielsen, PAC is a Pediatrics Physician in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

3430 Washington Pkwy
Idaho Falls, ID 83404
Phone: (208) 523-3060
Fax: (208) 523-0028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence PA178 (ID)

Record details

NPI number1205940962
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 19, 2006
Last updated in NPPESSeptember 10, 2009

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