Individual
NICOLE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
221 5TH AVE S, GLASGOW, MT 59230-2600
(406) 228-3536
(406) 225-3537
Mailing address
221 5TH AVE S, GLASGOW, MT 59230-2600
(406) 228-3536
(406) 225-3537
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
129241
MT
Other
Enumeration date
05/30/2023
Last updated
08/06/2024
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