Individual
PHYLLIS ANN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
108 DENVER TRAIL, HARRIS METHODIST NORTHWEST HOSPITAL, AZLE, TX 76020
(817) 444-8743
(817) 270-1369
Mailing address
209 CLASSIC CT, SPRINGTOWN, TX 76082-7281
(817) 444-8743
(817) 270-1369
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT02276
TX
Other
Enumeration date
03/29/2007
Last updated
03/25/2008
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