Individual
MATTHEW LYNN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1335 PINE AVE, ALMA, MI 48801-1242
(989) 463-2181
Mailing address
1335 PINE AVE, ALMA, MI 48801-1242
(989) 463-2181
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704289985
MI
363LF0000X
Family Nurse Practitioner
Primary
4704289985
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704289985
RN LICENSE
MI
Enumeration date
10/19/2015
Last updated
10/19/2015
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