Individual
ERIC ROGER NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
502 W 4TH AVE, TOPPENISH, WA 98948-1616
(509) 865-3105
(509) 574-4481
Mailing address
732 SUMMITVIEW AVE, #633, YAKIMA, WA 98902-3032
(509) 573-3448
(509) 574-4481
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30007383
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9649583
—
WA
Enumeration date
07/20/2006
Last updated
01/09/2009
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