Individual
DEREK ANDREW NELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 ERWIN ROAD, DURHAM, NC 27710
(919) 684-8111
Mailing address
2301 ERWIN ROAD, DURHAM, NC 27710
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2022-01173
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2017
Last updated
10/20/2022
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