Provider Profile
Ethan M. Nielsen, PA is a physician assistant based in Provo, UT. Ethan is also listed as specializing in physician assistant — medical.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
395 W BULLDOG BLVD
Provo, UT 84604
Ethan M. Nielsen is a physician assistant in Provo, UT. That is the designation recorded for this NPI in the federal registry.
NPI registry
Ethan M. Nielsen is listed at 395 W Bulldog Blvd, Provo, UT 84604. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (801) 357-7081. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Ethan M. Nielsen's National Provider Identifier is 1154179844. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Ethan M. Nielsen attended Other, graduating in 2025. This comes from the CMS National Downloadable File.
CMS public data
Ethan M. Nielsen has 1 year experience. Calculated from a graduation year of 2025, reported in the CMS National Downloadable File.
CMS public data
Not yet. This profile is built from public federal data and has not been confirmed by Ethan M. Nielsen. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.