Terra Shanae Nelson CRNP

NPI 1912171497 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1912171497
Gender Female
Enumeration Date 04/16/2008
Last Updated 09/29/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
3100 MCKINNON ST
SUITE 400
DALLAS TX, 75201-1044, US
Phone (214) 754-8700
Fax
Business Location
3100 MCKINNON ST
SUITE 400
DALLAS TX, 75201-1044, US
Phone (214) 754-8700
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State Pennsylvania
License Number SP009791
Remove 1912171497 NPI Number
 

According to our database, Terra Shanae Nelson CRNP NPI is 1912171497, taxonomy code is 363LA2200X and license number is SP009791, license state is located at Pennsylvania. Terra Shanae Nelson CRNP physically located at 3100 Mckinnon St, Dallas TX, 75201-1044. NPI Number Terra Shanae Nelson CRNP has the Individual type.

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1912171497 NPI number is provided on an as is basis without warranty of any kind. 1912171497 is maintained by the National Plan & Provider Enumeration System. The contents of Terra Shanae Nelson CRNP are for informational purposes only.