Nelson, Irene Ann

Nelson, Irene Ann is an individual health care provider with primary practice located at 1490 Gregory Lane , Jackson WY 83002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Nelson, Irene Ann can be contacted via phone (307) 732-1694.

Contact Information

Primary practice address
1490 Gregory Lane Jackson WY 83002
Phone: (307) 732-1694
Fax: (307) 732-1693
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 158 Wyoming

Profile Details

NPI number 1093050510
LBN Legal business name Nelson, Irene Ann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2012
Last updated Dec 10th, 2012 - about 13 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 1093050510 NPPES
Other 1024755 NCCPA

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