Nelson, Kristen Dawn
Nelson, Kristen Dawn is an individual health care provider with primary practice located at 1102 East Clark Avenue Suite 120A, Santa Maria CA 93455-5175. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nelson, Kristen Dawn can be contacted via phone (805) 332-8185.Contact Information
Primary practice address
1102 East Clark Avenue Suite 120A
Santa Maria CA 93455-5175
Phone: (805) 332-8185
Fax: (805) 332-8186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 417148 | California |
Profile Details
| NPI number | 1639410244 |
|---|---|
| LBN Legal business name | Nelson, Kristen Dawn |
| Credentials | RN, FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2013 |
| Last updated | Jan 6th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639410244 | NPPES |
| California | Other | CB247140 | MEDICARE ID |
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