Individual
DESIREE A NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1162 WILLAMETTE ST, EUGENE, OR 97401-3568
(541) 687-6287
(541) 687-6154
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000356
—
OR
Enumeration date
09/29/2006
Last updated
10/11/2007
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