Individual
DESIREE D NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HOAG DR BLDG 41, NEWPORT BEACH, CA 92663-4162
(612) 968-5490
Mailing address
1 HOAG DR BLDG 41, NEWPORT BEACH, CA 92663-4162
(612) 968-5490
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95015738
CA
Other
Enumeration date
04/21/2021
Last updated
07/02/2024
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