Individual
MRS. CAROL LYNNE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
17876 SAINT CLAIR AVE, CLEVELAND, OH 44110
(216) 645-5539
(216) 298-0241
Mailing address
17876 SAINT CLAIR AVE, CLEVELAND, OH 44110-2602
(216) 645-5539
(216) 298-0241
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F332060
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02175208
—
NY
Enumeration date
11/24/2006
Last updated
07/09/2019
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