# PROF. NELLADEE STREET

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1588646665
- **Gender:** F
- **Credential:** F.N.P.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | APN00314 | NV | Yes |

## Other

- **Enumeration date:** 11/15/2005
- **Last updated:** 07/13/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 811580 | — | AZ |