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Individual

COURTNEY ROSE MARIE NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
267253
AZ
363L00000X
Nurse Practitioner
61340
NM
363LA2100X
Acute Care Nurse Practitioner
11686
CT
363LA2100X
Acute Care Nurse Practitioner
26654
SC
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ14859400
NJ
363LA2100X
Acute Care Nurse Practitioner
828148
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
SC
Enumeration date
04/04/2020
Last updated
01/24/2025
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