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Individual

MRS. KIMBERLY L NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-BC

Contact information

Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0100
Mailing address
238 N. MILTON AVE., BALTIMORE, MD 21224-1011
(610) 764-1713

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R215363
MD
363LA2100X
Acute Care Nurse Practitioner
SP014559
PA

Other

Enumeration date
03/04/2015
Last updated
04/29/2016
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