Individual
DANIELLE CATHERINE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5102 W CAMPBELL AVE, PHOENIX, AZ 85031-1703
(602) 344-5011
Mailing address
2605 W DOVE VALLEY RD APT 334, PHOENIX, AZ 85085-5219
(402) 889-7468
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10221
AZ
363AM0700X
Medical Physician Assistant
Primary
10221
AZ
Other
Enumeration date
01/26/2024
Last updated
10/28/2024
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