Individual
DR. DOLORES A NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
36001 EUCLID AVE, SUITE C-17, WILLOUGHBY, OH 44094-4643
(440) 946-4662
(440) 946-4084
Mailing address
36001 EUCLID AVE, SUITE C-17, WILLOUGHBY, OH 44094-4643
(440) 946-4662
(440) 946-4084
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP03177
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000526664
ANTHEM BLUE SHIELD
OH
05
—
2411107
—
OH
Enumeration date
05/18/2006
Last updated
04/24/2010
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