Individual
TAYE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
824 S SAN FRANCISCO ST, FLAGSTAFF, AZ 86001
(928) 523-2131
Mailing address
824 S SAN FRANCISCO STREET, FLAGSTAFF, AZ 86001
(928) 523-3213
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
AP8048
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP8048
AZ
Other
Enumeration date
03/01/2016
Last updated
02/24/2023
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