Individual
ANDREW FREDERICK NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2496 BAUER RD, MIRAMAR, CA 92126
(505) 382-8530
Mailing address
2496 BAUER RD, SAN DIEGO, CA 92126
(505) 382-8530
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
2083A0100X
Aerospace Medicine Physician
Primary
0101287173
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/12/2024
Last updated
03/05/2026
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