Individual
MS. REBEKAH ELISE NELSON
Active
Individual
MS. REBEKAH ELISE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA.0006410
CO MED LICENSE
CO
Enumeration date
05/20/2019
Last updated
06/29/2022
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