Individual
WELBY NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1039 MURRAY AVE STE 220, SAN LUIS OBISPO, CA 93405-2058
(805) 250-2996
(805) 250-2998
Mailing address
3835 N FREEWAY BLVD STE 100, SACRAMENTO, CA 95834-1954
(916) 576-7900
(916) 285-0338
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
20A11177
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
20A11177
CA
Other
Enumeration date
05/22/2007
Last updated
03/29/2018
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