Individual
VANESSA ROSE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
765 W INTERSTATE AVE, BISMARCK, ND 58503-0936
(701) 323-3700
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13800
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2012
Last updated
11/09/2015
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