Individual
TYLER G NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1436
(985) 230-2198
(985) 230-2159
Mailing address
PO BOX 1609, HAMMOND, LA 70404-1609
(985) 230-2198
(985) 230-2159
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
211607
LA
367500000X
Certified Registered Nurse Anesthetist
RN151347
LA
Other
Enumeration date
12/30/2019
Last updated
01/06/2023
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