Individual
MANDY MARIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNS
Contact information
Practice address
700 NE 13TH ST, OKLAHOMA CITY, OK 73104-5004
(405) 875-5152
Mailing address
500 SUMMER DR, EDMOND, OK 73025-1465
(405) 816-5575
(405) 271-2235
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
82698
OK
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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