Healthcare Provider Details

I. General information

NPI: 1144483702
Provider Name (Legal Business Name): CHRISTINE ELIZABETH NELSON RN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2008
Last Update Date: 07/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 LINCOLN BLVD
OROVILLE CA
95966-5961
US

IV. Provider business mailing address

PO BOX A D
YUBA CITY CA
95992-1396
US

V. Phone/Fax

Practice location:
  • Phone: 530-534-7500
  • Fax: 530-534-0210
Mailing address:
  • Phone: 530-751-3769
  • Fax: 530-751-1237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number244916
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberNP2385
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: