| NPI | 1992453815 |
|---|---|
| Other Name | KATELYN MARIE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MN 9064) |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2022-03-10 |