Nelson, Trisha L

Nelson, Trisha L is an individual health care provider with primary practice located at 5350 Eastern Ave. , Davenport IA 52807-2709. 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, Trisha L can be contacted via phone (563) 355-1853.

Contact Information

Primary practice address
5350 Eastern Ave. Davenport IA 52807-2709
Phone: (563) 355-1853
Fax: (563) 359-1519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209008129 Illinois

Profile Details

NPI number 1497061261
LBN Legal business name Nelson, Trisha L
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2010
Last updated Oct 6th, 2017 - 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 1497061261 NPPES
Illinois Other 209008129 LICENSE

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