| Doctor Name: | STACY M NELSON |
| NPI Number: | 1003034703 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 281216-3102 |
| Business Practice Address: | 237 26th St Ogden, UT - 844013105 |
| Business Phone Number: | 8017786890 |
| Business Fax Number: | |
| Mailing Address: | Po Box 3931, OGDEN |
| State: | UT |
| Postal Code: | 844091931 |
| Phone Number: | 8017786890 |
| Fax Number: | |
| NPI Enumeration Date: | 04/20/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | 281216-3102 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |