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Individual

KRISTA WERT NELSON

Active
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Individual

KRISTA WERT NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA, MPH

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9108801
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9108801
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015511600
FL
01
IG696Y
MEDICARE
FL
Enumeration date
06/30/2015
Last updated
11/12/2025
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