Thea Marie Nelson

NPI #1558559088 in Blaine, Minnesota

Provider Information

NPI Number
1558559088
Entity Type
Individual
Name
Thea Marie Nelson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Oct 10, 2007
Last Updated
Oct 10, 2007

Practice Location

Address
1013 111TH AVE NE
City
Blaine
ZIP Code
55434-4519
Phone
(763) 245-3643

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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