Individual
NANCY NEILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPF
Contact information
Practice address
2416 W SHAW AVE STE 106, FRESNO, CA 93711-3303
(559) 438-1777
(559) 432-4611
Mailing address
1122 S ST STE 102, FRESNO, CA 93721-1430
(559) 495-3120
(559) 495-3134
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
NPF 8725
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN317214
—
CA
Enumeration date
11/11/2006
Last updated
05/14/2008
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