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NPI Code Detail

MEDICARE: LISA ANN NELSON FNP-C

MEDICARE: LISA ANN NELSON FNP-C
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
1363LF0000XFamily Nurse Practitioner2018033948MO

General Provider Information

NPI Number : 1477034437
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA ANN NELSON FNP-C
Provider Business Mailing Address
First Line : 15740 S OUTER 40 RD
Second Line :
City : CHESTERFIELD
State : MO
Zip : 63017-2004
Country : US
Telephone Number : 636-237-4700
Fax Number :
Provider Business Practice Location Address
First Line : 15740 S OUTER 40 RD
Second Line :
City : CHESTERFIELD
State : MO
Zip : 63017-2004
Country : US
Telephone Number : 636-237-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2018
Last Update Date : 05/12/2026

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Directions to “ LISA ANN NELSON FNP-C” Practice Location

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