Individual
JOAN D NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 HERRING AVE, WACO, TX 76708-3239
(254) 741-1185
(254) 741-1249
Mailing address
PO BOX 21265, WACO, TX 76702-1265
(254) 741-1185
(254) 741-1249
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
430868
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109743801
—
TX
05
—
109743804
—
TX
01
—
88523U
BCBS
TX
Enumeration date
08/17/2006
Last updated
03/20/2009
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