CAROLINE NELSON

LONGVIEW, WA
NPI1316434210
Former NameCAROLINE HURLEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA60898310)
Additional Taxonomies146N00000X Emergency Medical Technician, Basic
(Licence:   E1751525)
363AM0700X Physician Assistant, Medical
(Licence:   license)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-04-16
Last Update Date2019-06-12
Business Address
CAROLINE NELSON PA-C
1718 E KESSLER BLVD
LONGVIEW, WA 98632
Phone number: 360-747-5800
Mailing Address
CAROLINE NELSON PA-C
1718 E KESSLER BLVD
LONGVIEW, WA 98632-1842
Phone number: 360-747-5800