Individual
REBECCA ANN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 W. THIRTEEN MILE ROAD, EXT 84116 REBECCA NELSON, ROYAL OAK, MI 48073
(248) 898-4116
Mailing address
3785 CUMBERLAND RD, BERKLEY, MI 48072-1653
(248) 379-5188
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0809384
MI
Other
Enumeration date
10/27/2009
Last updated
05/21/2013
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