Individual
RACHEL MECEDES NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9750 UPPER 205TH ST W, LAKEVILLE, MN 55044-6832
(952) 454-2517
Mailing address
9750 UPPER 205TH ST W, LAKEVILLE, MN 55044-6832
(952) 454-2517
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
137895
IA
163W00000X
Registered Nurse
Primary
235012-7
MN
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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