Individual
CHRISTINA MARIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-PC
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
2010020963
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
2020038841
MO
363LP0200X
Pediatric Nurse Practitioner
53-79675-071
KS
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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