Individual
KORTNEY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-2000
Mailing address
6350 GREENE STREET APT # 716, PHILADELPHIA, PA 19144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN563375
PA
163WC0200X
Critical Care Medicine Registered Nurse
RN563375
PA
Other
Enumeration date
12/24/2007
Last updated
12/24/2007
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