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Individual

ALLISON NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, APRN, NP-C

Contact information

Practice address
12900 PARK PLAZA DR STE 150, CERRITOS, CA 90703-9329
(866) 646-3553
Mailing address
12900 PARK PLAZA DR STE 150, CERRITOS, CA 90703-9329

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95012039
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95012039
NP LICENSE
CA
Enumeration date
07/25/2019
Last updated
03/07/2023
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