| Doctor Name: | RUTH H. NELSON |
| NPI Number: | 1659789899 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 3008779 |
| Business Practice Address: | 207 Main Street Crab Orchard, KY - 40419 |
| Business Phone Number: | 6063557800 |
| Business Fax Number: | 6063557803 |
| Mailing Address: | Po Box 84, CRAB ORCHARD |
| State: | KY |
| Postal Code: | 40419 |
| Phone Number: | 6063557800 |
| Fax Number: | 6063557803 |
| NPI Enumeration Date: | 07/31/2014 |
| NPI Last Update Date: | 07/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3008779 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |