Individual
MS. CARLY ELIZABETH NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2292 US HIGHWAY 41 W STE 6, MARQUETTE, MI 49855-2482
(906) 228-4204
(855) 261-2633
Mailing address
PO BOX 244, PALMER, MI 49871-0244
(906) 361-2293
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703100821
MI
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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