| NPI | 1376571778 |
|---|---|
| Former Name | SUZZAN M NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 247230) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-084184) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 229776) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2021-09-08 |