Individual
DR. WENDELL D NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.H
Contact information
Practice address
1012 12TH AVE S, NAMPA, ID 83651-4661
(208) 466-9249
(208) 466-9240
Mailing address
1012 12TH AVE S, NAMPA, ID 83651-4661
(208) 466-9249
(208) 466-9240
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA 289
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002400000
—
ID
Enumeration date
07/04/2006
Last updated
05/14/2009
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