Individual
MS. MAREN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
966 12TH ST SE, SALEM, OR 97302-2859
(503) 814-4400
(503) 540-5919
Mailing address
PO BOX 13129, SALEM, OR 97309-1129
(503) 814-4400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201504044NP-PP
OR
390200000X
Student in an Organized Health Care Education/Training Program
20094098RN
OR
Other
Enumeration date
05/06/2013
Last updated
05/17/2016
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