| NPI | 1275591695 |
|---|---|
| Former Name | AMY K NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3446-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9218878) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 158288-30) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2012-04-10 |