Individual
MARY BARON NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CPNP
Contact information
Practice address
4650 W SUNSET BLVD, MS #81, LOS ANGELES, CA 90027-6062
(323) 361-3033
Mailing address
5272 LA CANADA BLVD, LA CANADA, CA 91011-1722
(818) 952-0416
(323) 361-8191
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
363LP0200X
CA
Other
Enumeration date
02/26/2010
Last updated
04/10/2014
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