Nelson, Talia

Nelson, Talia is an individual health care provider with primary practice located at 6825 White Egret Ct , Tinley Park IL 60477-3973. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Nelson, Talia can be contacted via phone (708) 833-1012.

Contact Information

Primary practice address
6825 White Egret Ct Tinley Park IL 60477-3973
Phone: (708) 833-1012
Fax: (866) 441-0962
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209014096 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209014096 Illinois

Profile Details

NPI number 1336502681
LBN Legal business name Nelson, Talia
Credentials MSN, FNP, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2016
Last updated Sep 21st, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336502681 NPPES
Illinois Other 277001021 IL LICENSE

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