Individual
CHERYL ANN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.V.N.
Contact information
Practice address
3103 E. CARTWRIGHT, FRESNO, CA 93725
(559) 498-7100
(559) 498-7111
Mailing address
3103 E. CARTWRIGHT, FRESNO, CA 93725
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 145727
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669559878
MEDI-CAL
CA
Enumeration date
03/19/2007
Last updated
07/08/2007
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