Individual
AUDRA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, MS, CNSC
Contact information
Practice address
731 W SIESTA WAY, PHOENIX, AZ 85041-8333
(402) 850-7644
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-7761
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
933872
AZ
176B00000X
Midwife
Primary
LM281
AZ
Other
Enumeration date
05/01/2014
Last updated
08/27/2024
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