| Doctor Name: | BRENDA NELSON |
| NPI Number: | 1043510803 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 9266 |
| Business Practice Address: | 118 N 5th St Oneill, NE - 687631565 |
| Business Phone Number: | 4023364841 |
| Business Fax Number: | 4023364640 |
| Mailing Address: | 118 N 5th St, P. O. Box 147 ONEILL |
| State: | NE |
| Postal Code: | 687631565 |
| Phone Number: | 4023364841 |
| Fax Number: | 4023364640 |
| NPI Enumeration Date: | 10/27/2010 |
| NPI Last Update Date: | 02/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 9266 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |