Individual
DR. MARCI M NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21911 76TH AVE W, #110, EDMONDS, WA 98026-7903
(425) 640-4950
(425) 640-4958
Mailing address
21911 76TH AVE W, #110, EDMONDS, WA 98026-7903
(425) 640-4950
(425) 640-4958
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00042464
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4252PU
REGENCE BLUE SHIELD
WA
05
—
8393597
—
WA
Enumeration date
05/18/2006
Last updated
10/08/2020
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