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NPI Code Detail

MEDICARE: HILLARY ANNE NELSON

MEDICARE: HILLARY ANNE NELSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1114559796
Entity Type Code : Individual
Provider Name (Legal Business Name) : HILLARY ANNE NELSON
Provider Business Mailing Address
First Line : 7361 BLOOMER RD
Second Line :
City : MAYVILLE
State : NY
Zip : 14757-9762
Country : US
Telephone Number : 716-499-1275
Fax Number :
Provider Business Practice Location Address
First Line : 150 PRATHER AVE
Second Line :
City : JAMESTOWN
State : NY
Zip : 14701-6710
Country : US
Telephone Number : 716-488-1921
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2020
Last Update Date : 02/11/2020

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Directions to “ HILLARY ANNE NELSON ” Practice Location

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