Individual
ANDREA MARIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 JACK TRICE WAY, AMES, IA 50011-1801
(515) 294-3662
Mailing address
1632 W 105TH ST, CHICAGO, IL 60643-2914
(773) 440-6715
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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