Individual
MS. LISA A NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
R092478
AR
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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