Individual
MADISON BAILEY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3124 S REGAL ST, SPOKANE, WA 99223-4704
(509) 464-6208
Mailing address
1694 TAMARISK DR, SANTA CLARA, UT 84765-5162
(801) 554-2737
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61266895
WA
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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