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Provider Information for 1922433275


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NATALIE NELSON M.A.


Sex: Female

NPI: 1922433275
Last Updated: 2013-09-05
Certification Date:

Details

NameValue
NPI1922433275
Enumeration Date2013-09-05
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 4115 BOARDWALK DR
SUITE 200
FORT COLLINS, CO 80525-5945
United States

Phone: 970-797-2259 | Fax:
 
Primary Practice Address 4115 BOARDWALK DR
SUITE 200
FORT COLLINS, CO 80525-5945
United States

Phone: 970-797-2259 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101Y00000X - Counselor