Individual
DIANE M NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
803 VANDERCOOK WAY STE 2, LOWER COLUMBIA OCCUPATIONAL HEALTH, LONGVIEW, WA 98632-4039
(360) 414-8818
(360) 414-8088
Mailing address
803 VANDERCOOK WAY STE 2, LOWER COLUMBIAN OCCUPATIONAL HEALTH, LONGVIEW, WA 98632-4039
(360) 414-8818
(360) 414-8088
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
AP30005429
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9626045
—
WA
Enumeration date
07/03/2006
Last updated
06/10/2008
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