Individual
CHRISTINE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 499-6556
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A24574
CA
2080P0203X
Pediatric Critical Care Medicine Physician
A24574
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A245740
—
CA
Enumeration date
10/28/2006
Last updated
01/15/2020
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