Doctor Name: | DEBORAHN ANN NELSON |
NPI Number: | 1063581163 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 1869193102 |
Business Practice Address: | 3420 E Millcreek Rd Slc, UT - 841094106 |
Business Phone Number: | 8014676200 |
Business Fax Number: | |
Mailing Address: | 3420 E Millcreek Rd, SLC |
State: | UT |
Postal Code: | 841094106 |
Phone Number: | 8014676200 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 1869193102 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |