Individual
MS. MARNE HELEN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4422 6TH AVE SE, LACEY, WA 98503-1020
(360) 704-7170
Mailing address
3857 MARTIN WAY E, OLYMPIA, WA 98506-5268
(360) 704-7170
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
AP30005346
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6688NE
REGENCE INSURANCE ID NUM
WA
05
—
9629585
—
WA
Enumeration date
10/18/2006
Last updated
08/02/2011
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