Individual
KELLY ANN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60968138
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP60968138
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164081451
—
WA
Enumeration date
06/10/2019
Last updated
07/18/2019
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