# MONICA NELSON

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MONICA NELSON
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992982789
- **Legal business name:** MONICA NELSON
- **Authorized official:** KATHY A OSTRANDER (OFFICE MANAGER)
- **Authorized official phone:** (253) 759-3065

## Contact information

- **Practice address:** 22813 43RD AVE S, KENT, WA 98032-2000
- **Practice address phone:** (206) 948-5899
- **Practice address fax:** (253) 759-3075
- **Mailing address:** 22813 43RD AVE S, KENT, WA 98032-8468
- **Mailing address phone:** (206) 948-5899
- **Mailing address fax:** (253) 759-3075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | AP30003764 | WA | Yes |

## Other

- **Enumeration date:** 01/24/2008
- **Last updated:** 05/09/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9643776 | — | WA |