Individual
MR. NELSON RAMON MATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
2700 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-9494
(919) 736-1110
(919) 587-2976
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
179260-4406
UT
Other
Enumeration date
09/06/2006
Last updated
09/10/2019
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