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Individual
MS. KATIE ELLEN NELSON
Active
Individual
MS. KATIE ELLEN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
758472
TX
363LF0000X
Family Nurse Practitioner
758472
TX
363LF0000X
Family Nurse Practitioner
Primary
NP578A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB152718
WELLMED MEDICAL GROUP PA
—
Enumeration date
05/04/2007
Last updated
01/31/2013
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