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Individual

JAMES P NELSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1234
(505) 841-1956
Mailing address
PO BOX 22422, MILWAUKIE, OR 97269-2422
(505) 260-4300
(505) 260-4338

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R45637
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
202000296
PHP
NM
05
91434084
NM
01
B29502
PRONET / AETNA
NM
Enumeration date
03/16/2006
Last updated
02/20/2018
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