Individual
NICOLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 S PEARL ST, ALBANY, NY 12202-1914
(518) 449-0100
Mailing address
4 ATRIUM DR, SUITE 100, ALBANY, NY 12205-1441
(518) 435-2740
(518) 649-4060
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
5463
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5463
CERTFICATION
NY
Enumeration date
05/09/2013
Last updated
05/09/2013
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