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Individual

TRISHA L NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
5350 EASTERN AVE., DAVENPORT, IA 52807-2709
(563) 355-1853
(563) 359-1519
Mailing address
5350 EASTERN AVE., DAVENPORT, IA 52807-2709
(563) 355-1853
(563) 359-1512

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209008129
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209008129
LICENSE
IL
Enumeration date
08/31/2010
Last updated
10/06/2017
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