Individual
JANICE MARIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 NORTH CECIL, POST FALLS, ID 83854
(208) 161-2800
Mailing address
PO BOX 2808, HAYDEN, ID 83835-2808
(208) 772-5664
(208) 772-1691
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-886
ID
Other
Enumeration date
11/21/2008
Last updated
11/21/2008
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