Individual
DR. JOHN ARTHUR NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPNP, PHD
Contact information
Practice address
21 AUDUBON AVENUE, NEW YORK, NY 10032
(212) 342-3207
Mailing address
215 W 125TH ST, NEW YORK, NY 10027-4426
(646) 284-9727
(646) 284-9729
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380811
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15210N
BILLING ID #
NY
Enumeration date
03/19/2007
Last updated
10/09/2012
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