Individual
WENDY ALICE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
757 WESTWOOD PLZ STE 2146, LOS ANGELES, CA 90095-0001
(310) 267-9793
(310) 267-3783
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5632
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
18407
CA
363LA2100X
Acute Care Nurse Practitioner
18407
CA
364SA2100X
Acute Care Clinical Nurse Specialist
3167
CA
Other
Enumeration date
08/08/2008
Last updated
06/09/2022
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