Individual
AMY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
74785 US HIGHWAY 111 STE 100, INDIAN WELLS, CA 92210-7129
(760) 776-8989
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9281600
FL
363LA2200X
Adult Health Nurse Practitioner
ARNP9281600
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111042100
—
FL
Enumeration date
05/12/2010
Last updated
04/07/2025
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