Doctor Name: | GRETCHEN NELSON |
NPI Number: | 1003070244 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 6718 |
Business Practice Address: | 1105 E Spruce Ave Ste 203 Fresno, CA - 937203313 |
Business Phone Number: | 5594507272 |
Business Fax Number: | 5594507276 |
Mailing Address: | 1105 E Spruce Ave Ste 203, FRESNO |
State: | CA |
Postal Code: | 937203313 |
Phone Number: | 5594507272 |
Fax Number: | 5594507276 |
NPI Enumeration Date: | 07/16/2008 |
NPI Last Update Date: | 07/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 6718 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |