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Provider Information for 1467595330

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

LAURIE L NELSON NP

Gender: FEMALE

Individual NPI: 1467595330

Calendar   Last Updated:  2020-02-11
  Certification Date:  2020-02-11

Details

Name Value
NPI 1467595330
Enumeration Date 2007-02-14
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 725 VIRGINIA ST
DUNEDIN, FL 34698-6615
United States

Phone: 727-734-4551 | Fax: 727-736-8648
View Map External Link
Primary Practice Address 725 VIRGINIA ST
DUNEDIN, FL 34698-6615
United States

Phone: 727-734-4551 | Fax: 727-736-8648
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other LICENSE FL APRN9472905
Other LICENSE CA 562820
Other STATE LICENSE NC 201832
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363L00000X - Nurse Practitioner CA 562820