Individual
RUBY SUE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
95 S 100 E STE 300, PAYSON, UT 84651-2253
(801) 832-9338
(801) 832-0246
Mailing address
95 E 100 S, SUITE 300, PAYSON, UT 84651
(801) 382-9338
(801) 382-0246
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
202451-3102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202451-8900
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/17/2021
Last updated
04/20/2022
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