| Doctor Name: | KRISTA SUE NELSON |
| NPI Number: | 1750748000 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 130795 |
| Business Practice Address: | 216 W Division St Clarinda, IA - 516322509 |
| Business Phone Number: | 7125422388 |
| Business Fax Number: | 7125422984 |
| Mailing Address: | 216 W Division St, CLARINDA |
| State: | IA |
| Postal Code: | 516322509 |
| Phone Number: | 7125422388 |
| Fax Number: | 7125422984 |
| NPI Enumeration Date: | 01/18/2016 |
| NPI Last Update Date: | 01/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 130795 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |