Individual
EVANNE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18120 NW 5TH CT, MIAMI, FL 33169-4329
(305) 842-7913
Mailing address
18120 NW 5TH CT, MIAMI, FL 33169-4329
(305) 842-7913
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2685982
FL
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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