Individual
DR. JOHN P NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 SHADY AVE, D-108, PITTSBURGH, PA 15206-4460
(412) 661-9008
(412) 661-1055
Mailing address
401 SHADY AVE, D-108, PITTSBURGH, PA 15206-4460
(412) 661-9008
(412) 661-1055
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD028096E
PA
2084P0805X
Geriatric Psychiatry Physician
MD028096E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N197917
HIGHMARK BC/BS
PA
Enumeration date
09/22/2005
Last updated
03/07/2023
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