Individual
MS. NANCY L NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
200 S JORDAN AVE, BLOOMINGTON, IN 47405-7002
(812) 855-7439
(812) 855-5561
Mailing address
200 S JORDAN AVE, BLOOMINGTON, IN 47405-7002
(812) 855-7439
(812) 855-5561
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23001931
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200508550A
—
IN
Enumeration date
10/12/2005
Last updated
01/19/2012
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