Individual
MS. CAROL BOUSH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
12201 PLUM ORCHARD DR, SILVER SPRING, MD 20904-7803
(301) 572-3347
(301) 572-3417
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE, PPQA, 6 WEST, ATTN: THERESA BROOKS, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R054386
MD
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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