Individual
MAUREEN Q NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
4230 HARDING RD, SUITE LL50, NASHVILLE, TN 37205-2013
(615) 297-2700
(615) 386-2399
Mailing address
104 WOODMONT BLVD, SUITE LL50, NASHVILLE, TN 37205-2245
(615) 386-2300
(615) 386-2399
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1624
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1526624
—
TN
01
—
3685262
CIGNA
TN
01
—
4313028
BLUECROSS BLUESHIELD
TN
05
—
7100193390
—
KY
01
—
AUD001624
STATE LICENSE
TN
01
—
AUD003856
STATE LICENSE
GA
01
—
P01070806
RAIL ROAD MEDICARE
TN
Enumeration date
08/18/2010
Last updated
09/21/2012
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