Individual
KATHRYN S NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
337 11TH ST SW, SPENCER, IA 51301-5849
(712) 580-4570
(712) 580-4573
Mailing address
337 11TH ST SW, SPENCER, IA 51301-5849
(712) 580-4570
(712) 580-4573
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A-056987
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056987
IA NURSING LICENSE
IA
05
—
1184724007
—
IA
01
—
A-056987
ARNP LICENSE
IA
Enumeration date
09/22/2006
Last updated
01/14/2015
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