Individual
EVAN C. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1518 MULBERRY AVE, MUSCATINE, IA 52761-3433
(563) 262-4110
(563) 264-0166
Mailing address
1518 MULBERRY AVE, MUSCATINE, IA 52761-3433
(563) 264-9508
(563) 264-0166
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002293
IA
Other
Enumeration date
08/09/2012
Last updated
04/23/2013
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