Individual
GENICE T NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2100
(860) 679-4815
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-2100
(860) 679-4815
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
003145
CT
363LA2200X
Adult Health Nurse Practitioner
AP130280
TX
Other
Enumeration date
02/09/2007
Last updated
11/07/2022
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