Individual
MRS. MAURA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1015 MEDICAL CENTER PKWY, SELMA, AL 36701-6748
(334) 418-4105
Mailing address
196 COUNTY ROAD 545, VALLEY GRANDE, AL 36703-9085
(334) 875-5612
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1044598
AL
Other
Enumeration date
03/15/2007
Last updated
04/23/2008
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