Individual
PAUL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3103 230TH LN NW, SAINT FRANCIS, MN 55070-9799
(763) 248-1407
Mailing address
3103 230TH LN NW, SAINT FRANCIS, MN 55070-9799
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
225608-5
MN
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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