Individual
KATHLEEN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
406 5TH ST, FONTANELLE, IA 50846-8308
(641) 745-4300
(641) 745-2024
Mailing address
406 5TH ST, FONTANELLE, IA 50846-8308
(641) 745-4300
(641) 745-2024
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A053391
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3288530
—
IA
01
—
34499
BLUE CROSS/BLUE SHIELD
IA
Enumeration date
06/01/2006
Last updated
07/27/2016
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