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:
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Health care specialties

SpecialtyCodeLicense #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 8 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 1639410244 NPPES
California Other CB247140 MEDICARE ID

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