Nelson, Dolores A

Nelson, Dolores A is an individual health care provider with primary practice located at 36001 Euclid Ave Suite C-17, Willoughby OH 44094-4643. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Nelson, Dolores A can be contacted via phone (440) 946-4662.

Contact Information

Primary practice address
36001 Euclid Ave Suite C-17 Willoughby OH 44094-4643
Phone: (440) 946-4662
Fax: (440) 946-4084
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP03177 Ohio

Profile Details

NPI number 1801849005
LBN Legal business name Nelson, Dolores A
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Apr 24th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801849005 NPPES
Ohio Other 000000526664 ANTHEM BLUE SHIELD
Ohio MEDICAID 2411107 ANTHEM BLUE SHIELD

Popular Providers