Individual
MATTHEW NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
Mailing address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R34441
ND
Other
Enumeration date
03/07/2016
Last updated
10/17/2017
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