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Individual

MS. DANETTE ALEEN NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1970 14TH AVE SE STE 130, ALBANY, OR 97322-8527
(541) 812-5670
Mailing address
PO BOX 1188, CORVALLIS, OR 97339-1188

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200550086NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
269843
OR
Enumeration date
06/10/2006
Last updated
05/24/2021
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