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Individual

DR. DOLORES A NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

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
Update your record

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