| Doctor Name: | MRS. MARIE JOYNER NELSEN |
| NPI Number: | 1033140884 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 16053 |
| Business Practice Address: | 5700 Canoga Ave Suite 500 Woodland Hills, CA - 913676579 |
| Business Phone Number: | 8003773606 |
| Business Fax Number: | |
| Mailing Address: | 10470 New Haven Street, VENTURA |
| State: | CA |
| Postal Code: | 93004 |
| Phone Number: | 8056594292 |
| Fax Number: | |
| NPI Enumeration Date: | 07/06/2006 |
| NPI Last Update Date: | 11/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 16053 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |