Doctor Name: | MRS. LUCINDA L NELSON |
NPI Number: | 1225124183 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN136014 |
Business Practice Address: | 22076 Village Loop Queen Creek, AZ - 852426239 |
Business Phone Number: | 4809877424 |
Business Fax Number: | |
Mailing Address: | 29653 N Blackfoot Daisy Dr, QUEEN CREEK |
State: | AZ |
Postal Code: | 852433926 |
Phone Number: | 4808881702 |
Fax Number: | |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | RN136014 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |