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Individual
DR. JULIE NELSON
Active
Individual
DR. JULIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OT011742
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00732029
RR MEDICARE
PA
05
—
102283580
—
PA
01
—
2101225
HIGHMARK
PA
01
—
413070
UPMC HP
PA
01
—
6886487
AETNA
PA
01
—
P009820
GATEWAY
PA
Enumeration date
12/29/2008
Last updated
11/03/2020
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