Individual
MS. NICOLE LENORE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 23RD AVE STE 200, FAIRBANKS, AK 99701-7041
(907) 455-9737
(907) 479-9737
Mailing address
PO BOX 82074, FAIRBANKS, AK 99708-2074
(907) 455-9737
(907) 479-9737
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/18/2008
Last updated
04/09/2014
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