Individual
DR. NATHANIEL JONATHAN NELMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
192 TILLEY DR, SOUTH BURLINGTON, VT 05403-4440
(802) 847-0000
Mailing address
192 TILLEY DR, SOUTH BURLINGTON, VT 05403-4440
(802) 847-0000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
105636
MN
207X00000X
Orthopaedic Surgery Physician
54532
MN
207X00000X
Orthopaedic Surgery Physician
Primary
EF4323200BF
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00992477
RAILROAD MEDICARE
MN
Enumeration date
01/09/2007
Last updated
05/28/2015
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