Individual
MS. DALEEN ANN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN IBCLC
Contact information
Practice address
378 WINTHROP WAY, BOISE, ID 83709-0012
(208) 568-4900
(208) 377-8118
Mailing address
378 WINTHROP WAY, BOISE, ID 83709-0012
(208) 568-4900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N24776
ID
163WL0100X
Lactation Consultant (Registered Nurse)
104 21342
ID
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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