Individual
CASEY BOULANGER NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
319 CONGRESS AVE STE 100, AUSTIN, TX 78701-3692
(888) 663-6331
(415) 252-7176
Mailing address
PO BOX 550, YOSEMITE NATIONAL PARK, CA 95389-0550
(512) 663-3361
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
54312
CA
363A00000X
Physician Assistant
Primary
PA14880
TX
Other
Enumeration date
04/12/2017
Last updated
03/17/2025
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