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Individual
ANTHONY NELSON II
Active
Individual
ANTHONY NELSON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.538332
IL
2084A2900X
Neurocritical Care Physician
209.032404
IL
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
209.032404
IL
Other
Enumeration date
01/27/2025
Last updated
04/22/2026
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