Individual
DR. NIESHA R NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6405 S 3000 E STE 300, SALT LAKE CITY, UT 84121-6977
(801) 266-3113
Mailing address
6405 S 3000 E STE 300, SALT LAKE CITY, UT 84121-6977
(801) 266-3113
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7667592-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7667592-4405
APRN LICENSE
UT
Enumeration date
06/29/2017
Last updated
02/05/2024
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