Individual
MRS. AMY BETH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
305 BETHEL DR APT 2, EUGENE, OR 97402-2594
(541) 653-5183
Mailing address
305 BETHEL DR APT 2, EUGENE, OR 97402-2594
(541) 653-5183
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201030317LPN
OR
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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