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NPI Code Detail

MEDICARE: DANARA NELSON FNP-C

MEDICARE:   DANARA  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 PractitionerAPRN9316544FL
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN9316544FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588115430
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANARA NELSON FNP-C
Provider Business Mailing Address
First Line : 3200 SUMMIT BLVD
Second Line : POST OFFICE BOX # 15682
City : WEST PALM BEACH
State : FL
Zip : 33416-4001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7859 LAKE WORTH RD
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-3225
Country : US
Telephone Number : 561-465-1032
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2016
Last Update Date : 01/16/2026

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Directions to “ DANARA NELSON FNP-C” Practice Location

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