Healthcare Provider Details

I. General information

NPI: 1477707958
Provider Name (Legal Business Name): DAWN LEIGH NELSON R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS DAWN LEIGH CARTER

II. Dates (important events)

Enumeration Date: 11/10/2008
Last Update Date: 11/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 W NORFOLK AVE
NORFOLK NE
68701-5006
US

IV. Provider business mailing address

900 W NORFOLK AVE
NORFOLK NE
68701-5006
US

V. Phone/Fax

Practice location:
  • Phone: 402-370-3140
  • Fax:
Mailing address:
  • Phone: 402-370-3140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number66038
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: