Doctor Name: | REBECCA S. NELSON |
NPI Number: | 1861462418 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | R131665-4 |
Business Practice Address: | 1202 5th Grant Blvd Wabasha, MN - 559811042 |
Business Phone Number: | 6515654571 |
Business Fax Number: | |
Mailing Address: | 1202 5th Grant Blvd, WABASHA |
State: | MN |
Postal Code: | 559811042 |
Phone Number: | 6515654571 |
Fax Number: | |
NPI Enumeration Date: | 01/25/2006 |
NPI Last Update Date: | 01/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R131665-4 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |