Individual
DR. SUSAN ELLEN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-5211
(504) 842-0090
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
10659R
LA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
10659R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1991597
—
LA
01
—
P00106123
RAILROAD MEDICARE
LA
Enumeration date
07/18/2005
Last updated
03/19/2025
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