Individual
MIKAELA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO
Contact information
Practice address
4702 CREEKSTONE DR, DURHAM, NC 27703-8410
(919) 797-1230
(919) 797-1240
Mailing address
4702 CREEKSTONE DR, DURHAM, NC 27703-8410
(919) 797-1230
(919) 797-1240
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO006354
NC
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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