Individual
MILLICENT SB NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 342-2000
Mailing address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 342-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP5525
AZ
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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