Individual
BERIT NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
117 W MAIN ST, WATERVILLE, NY 13480-1165
(315) 841-4178
(315) 841-4338
Mailing address
117 W MAIN ST, WATERVILLE, NY 13480-1165
(315) 841-4178
(315) 841-4338
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F330574-1
NY
Other
Enumeration date
10/31/2005
Last updated
07/09/2007
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