Individual
STEPHANIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3501 INGERSOLL AVE, DES MOINES, IA 50312-3406
(515) 271-5047
(515) 271-5058
Mailing address
3501 INGERSOLL AVE, DES MOINES, IA 50312-3406
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22055
IA
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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