Individual
RICK F NELSON
Active
Individual
RICK F NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.,PHD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01074249A
IN
207Y00000X
Otolaryngology Physician
R8142
IA
207YX0901X
Otology & Neurotology Physician
Primary
01074249A
IN
207YX0901X
Otology & Neurotology Physician
40382
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000891707
ANTHEM PTAN
IN
01
—
1102379697
ANTHEM PTAN
IN
05
—
201242430
—
IN
Enumeration date
07/16/2007
Last updated
04/11/2025
Update your record
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