Individual
NATASHIA M NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
16760 N HIGHWAY 41, RATHDRUM, ID 83858-8715
(208) 620-5250
(844) 807-3782
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299
(208) 625-2070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
44236
ID
163W00000X
Registered Nurse
RN60170747
WA
363LF0000X
Family Nurse Practitioner
69798
ID
363LF0000X
Family Nurse Practitioner
Primary
AP61060948
WA
Other
Enumeration date
05/13/2020
Last updated
05/30/2023
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