Individual
KIMBERLY DIANE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 CONGRESS ST STE 225, SALEM, MA 01970-5529
(978) 542-1951
(978) 542-1954
Mailing address
1 DRAKE WAY UNIT 6, PEABODY, MA 01960-8404
(904) 576-3992
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2274752
MA
Other
Enumeration date
08/13/2019
Last updated
02/12/2020
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