| Doctor Name: | BARBARA J NELSON |
| NPI Number: | 1720245293 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSEPRACTITIONER NP |
| License Number: | NN106300 |
| Business Practice Address: | 4 Robert Rd Towaco, NJ - 07082 |
| Business Phone Number: | 9737255416 |
| Business Fax Number: | |
| Mailing Address: | 89 Valley Rd, MONTCLAIR |
| State: | NJ |
| Postal Code: | 07042 |
| Phone Number: | 9737463535 |
| Fax Number: | 9737464385 |
| NPI Enumeration Date: | 05/21/2008 |
| NPI Last Update Date: | 05/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | NN106300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |