Individual
DONNA M NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., F.N.P.
Contact information
Practice address
550 MUNSON AVE, TRAVERSE CITY, MI 49686-3580
(231) 935-5800
(231) 935-9116
Mailing address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-5800
(231) 935-9116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704144193
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704144193
LICENSE
MI
Enumeration date
05/31/2006
Last updated
03/07/2023
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