Individual
NICOLE B. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 RODEL CV, LAKE MARY, FL 32746-4859
(407) 302-3106
Mailing address
725 RODEL CV, LAKE MARY, FL 32746-4859
(407) 302-3130
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11020847
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11020847
FL
Other
Enumeration date
01/10/2023
Last updated
02/22/2023
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