Individual
RACHEL K NELLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1702 UNIVERSITY DRIVE SOUTH, FARGO, ND 58103-4940
(701) 364-3300
Mailing address
101 CIVIC CENTER LN, ATTN: CANCER CENTER, LAKE HAVASU CITY, AZ 86403-5607
(928) 854-0094
(928) 680-8986
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R24684
ND
363LF0000X
Family Nurse Practitioner
AP8464
AZ
363LF0000X
Family Nurse Practitioner
Primary
R24684
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116637
—
AZ
05
—
1462407
—
ND
05
—
19636
—
ND
Enumeration date
07/17/2006
Last updated
10/05/2018
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