Individual
EMMA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
6820 VALLEY VIEW RD, EDINA, MN 55439-1646
(845) 270-0336
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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