Individual
DR. DONNA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
322 WALNUT STREET, LA JARA, CO 81140
(719) 589-3671
Mailing address
8745 COUNTY ROAD 9 S, ALAMOSA, CO 81101-9610
(719) 589-3671
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
37378
CO
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
DR.0037378
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43475
—
NM
05
—
77337077
—
CO
Enumeration date
03/08/2006
Last updated
07/20/2022
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