Individual
ANDREA JO NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
256 BERGHOLZ RD NE, MECHANICSTOWN, OH 44651-9039
(330) 316-1281
Mailing address
256 BERGHOLZ RD NE, MECHANICSTOWN, OH 44651-9039
(330) 316-1281
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 089937
OH
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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