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NPI Code Detail

MEDICARE: BRITTNEY NICHOLE NELSON PHYSICIAN ASSISTANT

MEDICARE:   BRITTNEY NICHOLE NELSON  PHYSICIAN ASSISTANT
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
1363A00000XPhysician Assistant9009AZ

General Provider Information

NPI Number : 1225686611
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTNEY NICHOLE NELSON PHYSICIAN ASSISTANT
Provider Business Mailing Address
First Line : 2501 E SOUTHERN AVE STE 23
Second Line :
City : TEMPE
State : AZ
Zip : 85282-7667
Country : US
Telephone Number : 623-299-8799
Fax Number :
Provider Business Practice Location Address
First Line : 2501 E SOUTHERN AVE STE 23
Second Line :
City : TEMPE
State : AZ
Zip : 85282-7667
Country : US
Telephone Number : 623-299-8799
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2019
Last Update Date : 11/12/2025

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Directions to “ BRITTNEY NICHOLE NELSON PHYSICIAN ASSISTANT” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.