Susan Elaine Nelson FNP-BC

NPI 1750482121 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1750482121
Gender Female
Enumeration Date 09/26/2006
Last Updated 02/09/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
800 N 1ST ST
Phone (217) 528-7541
Business Location
1025 S 6TH ST
SPRINGFIELD IL, 62703-2403, US
Phone (217) 528-7541
Taxonomy Code 363L00000X
License State Illinois
License Number 209000774
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According to our database, Susan Elaine Nelson FNP-BC NPI is 1750482121, taxonomy code is 363L00000X and license number is 209000774, license state is located at Illinois. Susan Elaine Nelson FNP-BC physically located at 800 N 1st St, Springfield IL, 62702. NPI Number Susan Elaine Nelson FNP-BC has the Individual type.

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1750482121 NPI number is provided on an as is basis without warranty of any kind. 1750482121 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Elaine Nelson FNP-BC are for informational purposes only.