Cory Jay Nielsen is a student in an organized health care education training program in Phoenix, AZ. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Cory Jay Nielsen NPI is 1083279178. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2601 E ROOSEVELT ST
PHOENIX, AZ
ZIP 85008-973
Phone: (623) 512-3181
The enumeration date for this NPI number is 5/5/2019 and was last updated on 5/5/2019.