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Individual

MRS. LAURA ANN NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2118 25TH ST STE D, COLUMBUS, IN 47201-3240
(812) 372-8281
(812) 372-4525
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71001261
IN
363LF0000X
Family Nurse Practitioner
Primary
71001261A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200523270
IN
Enumeration date
02/09/2007
Last updated
09/06/2024
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