Individual
DEBORAH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
401 3RD AVE N, FARGO, ND 58102-4811
(701) 241-1360
(701) 241-8559
Mailing address
401 3RD AVE N, FARGO, ND 58102-4811
(701) 241-1360
(701) 241-8559
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R21288
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15451
BCBS
ND
01
—
167M9NE
BCBS
MN
Enumeration date
10/26/2006
Last updated
07/08/2007
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