Individual
TERRA SHANAE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(940) 455-2573
Mailing address
9108 GEOFFREY DR, LANTANA, TX 76226-5543
(214) 769-6833
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP119325
TX
363LA2200X
Adult Health Nurse Practitioner
SP009791
PA
Other
Enumeration date
04/16/2008
Last updated
09/16/2020
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