Individual
ELDA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 408-4268
Mailing address
3891 E SHAWNEE RD, BERRIEN SPRINGS, MI 49103-9765
(269) 635-8742
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704214056
MI
363LA2200X
Adult Health Nurse Practitioner
4704214056
MI
Other
Enumeration date
02/16/2016
Last updated
08/02/2024
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