Individual
DR. TINA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-4477
(603) 650-5455
Mailing address
PO BOX 224, SPOFFORD, NH 03462-0224
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
10541
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0RE5264
—
VT
05
—
30200179
—
NH
Enumeration date
08/14/2006
Last updated
07/08/2007
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