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

Mr. Nicholas Tieu, PA-C

Individual provider Physician Assistant · NPI 1295206134

Mr. Nicholas Tieu, PA-C is a Physician Assistant in Lewiston, Idaho. Practices as a sole proprietor. Licensed in Idaho and Ohio.

Licensed in
ID, OH
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

415 6th St
Lewiston, ID 83501-2434
Phone: (208) 743-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1712 (ID)
Physician Assistant Taxonomy 363A00000X · Licence 50.005767RX (OH)

Record details

NPI number1295206134
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 17, 2018
Last updated in NPPESFebruary 8, 2019

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