DAVID WESLEY NELSON

PROVIDENCE, RI
NPI1235618497
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: RI  PA01074)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: RI  PA01074)
Enumeration Date2018-08-08
Last Update Date2024-07-12
Business Address
DAVID WESLEY NELSON PA-C
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906-4829
Phone number: 401-455-6200
Mailing Address
DAVID WESLEY NELSON PA-C
455 TOLL GATE RD PRC AND CREDENTIALING
WARWICK, RI 02886-2759
Phone number: 401-273-0641