| Doctor Name: | BARTHOLOMEW NELSON |
| NPI Number: | 1205118668 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | N.P. |
| License Number: | RN2264401 |
| Business Practice Address: | 1 Harvard Rd Shirley, MA - 014642434 |
| Business Phone Number: | 9785146500 |
| Business Fax Number: | |
| Mailing Address: | 1 Harvard Rd, SHIRLEY |
| State: | MA |
| Postal Code: | 014642434 |
| Phone Number: | 9785146500 |
| Fax Number: | |
| NPI Enumeration Date: | 09/12/2011 |
| NPI Last Update Date: | 09/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN2264401 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |