MRS. Audrey Raquel Nelson, PA

NPI #1003961202 in Fort Worth, Texas

Provider Information

NPI Number: 1003961202
Entity Type: Individual
Name: MRS. Audrey Raquel Nelson, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jan 25, 2007
Last Updated: Jun 10, 2016

Practice Location

Address: 901 HEMPHILL ST
City: Fort Worth
State: Texas
ZIP Code: 76104-3111
Phone: (817) 332-4060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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