Individual
NAN E NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
32145 SEDGEFIELD OVAL, SOLON, OH 44139-4756
(330) 557-0586
Mailing address
32145 SEDGEFIELD OVAL, SOLON, OH 44139-4756
(330) 557-0586
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35061313
OH
208M00000X
Hospitalist Physician
35.061313
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0972890
—
OH
Enumeration date
11/10/2006
Last updated
02/02/2017
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