Individual
TINAMARIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4177 MILFORD LN, AURORA, IL 60504-2103
(630) 995-1523
Mailing address
4177 MILFORD LN, AURORA, IL 60504-2103
(630) 995-1523
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
041.545410
IL
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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