Individual
COURTNEY ROSE MARIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030-8063
(860) 679-8080
(860) 679-1340
Mailing address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030-8063
(860) 679-8080
(860) 679-1340
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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