Individual
JANAE K NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 5TH ST SE STE 1200, PUYALLUP, WA 98372-4688
(253) 697-5250
Mailing address
8315 PHILLIPS RD SW, LAKEWOOD, WA 98498-6349
(206) 658-7115
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61229521
WA
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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