Individual
DR. LAURA KAY NELSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
150 N 18TH AVE, SUITE 200, PHOENIX, AZ 85007-3232
(602) 364-4567
(602) 364-4570
Mailing address
150 N 18TH AVE, SUITE 200, PHOENIX, AZ 85007-3232
(602) 364-4567
(602) 364-4570
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26316
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2260
DEPARTMENT OF HEALTH SERV
AZ
01
—
424482
AHCCCS ID
AZ
Enumeration date
03/29/2006
Last updated
07/08/2007
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