Individual
DR. ANN MARIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1520 N SENATE AVE, INDIANAPOLIS, IN 46202-2213
(317) 962-8893
(317) 962-6722
Mailing address
250 N SHADELAND AVE, STE 130 - PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
02002245A
IN
207Q00000X
Family Medicine Physician
Primary
02002245A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201019710
—
IN
Enumeration date
03/23/2007
Last updated
02/26/2014
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