Individual
STACY M NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
237 26TH ST, OGDEN, UT 84401-3105
(801) 778-6890
Mailing address
PO BOX 3931, OGDEN, UT 84409-1931
(801) 778-6890
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
281216-3102
UT
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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