Individual
KRISTINA L NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1943 JACKSON AVE, BISMARCK, ND 58501-2371
(701) 202-6114
Mailing address
1943 JACKSON AVE, BISMARCK, ND 58501
(701) 202-6114
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/28/2015
Last updated
08/30/2015
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