Individual
PAMELA J NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R084220-0
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285317500
—
MN
01
—
890000630
MEDICARE RAILROAD
MN
05
—
ENROLLED
—
MN
Enumeration date
02/15/2006
Last updated
01/28/2009
Update your record
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