Individual
STACY L NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1650 4TH ST SE, ROCHESTER, MN 55904-4717
(507) 529-6600
Mailing address
1650 4TH ST SE, ROCHESTER, MN 55904-4717
(507) 529-6600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11849
MN
Other
Enumeration date
06/25/2008
Last updated
12/12/2023
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