Individual
GLORIAJEAN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C, CWOCN
Contact information
Practice address
70 N HARRISON RD, TUCSON, AZ 85748-3260
(520) 324-4403
(520) 324-1409
Mailing address
PO BOX 31235, TUCSON, AZ 85751-1235
(520) 324-2308
(520) 324-1406
Taxonomy
Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
RN163032
AZ
163WW0000X
Wound Care Registered Nurse
RN163032
AZ
163WX1500X
Ostomy Care Registered Nurse
RN163032
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP7644
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006233
—
AZ
01
—
Z229692
MEDICARE
AZ
Enumeration date
02/11/2015
Last updated
05/13/2021
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