Individual
DORISAH I NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(845) 598-2975
Mailing address
3A GILLIS AVE, NYACK, NY 10960-3401
(845) 598-2975
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F344164-1
NY
363LA2100X
Acute Care Nurse Practitioner
F344164-1
NY
363LF0000X
Family Nurse Practitioner
F344164-1
NY
363LP2300X
Primary Care Nurse Practitioner
F344164-1
NY
Other
Enumeration date
03/09/2019
Last updated
03/09/2019
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