Individual
ANGELINA MARIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4663 S 200 E, WASHINGTON TERRACE, UT 84405-5902
(801) 644-3009
Mailing address
4663 S 200 E, WASHINGTON TERRACE, UT 84405-5902
(801) 644-3009
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
9009669-4405
UT
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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