Individual
MRS. CARLY ROSE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2011 PINTO LN STE 200, LAS VEGAS, NV 89106-4007
(702) 382-3200
(702) 382-3575
Mailing address
4254 W ORCHID LN, CHANDLER, AZ 85226-7246
(888) 731-8994
(888) 732-8119
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN001911
NV
363LW0102X
Women's Health Nurse Practitioner
323867
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770977407
—
NV
Enumeration date
03/19/2015
Last updated
05/16/2026
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