Individual
NICHOLAS JON NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2910 N 3RD AVE # 470, PHOENIX, AZ 85013-4434
(602) 406-6262
Mailing address
240 W THOMAS RD STE 301, PHOENIX, AZ 85013-4407
(602) 406-6262
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
72781
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2018
Last updated
07/18/2024
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