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Individual

MARCIA DEE NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN., CNM

Contact information

Practice address
623 RUSSELL BLVD, NACOGDOCHES, TX 75965-1247
(936) 305-5277
(866) 859-9363
Mailing address
623 RUSSELL BLVD, NACOGDOCHES, TX 75965-1247
(936) 305-5277
(866) 859-9363

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
251633
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
133241308
TX
Enumeration date
12/18/2006
Last updated
02/22/2024
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