Healthcare Provider Details

I. General information

NPI: 1881886349
Provider Name (Legal Business Name): ROBERT O NELSON RNFA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2007
Last Update Date: 08/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 S MILLER ST CENTRAL WASHINGTON HOSPITAL
WENATCHEE WA
98801-3201
US

IV. Provider business mailing address

PO BOX 1887 CENTRAL WASHINGTON HOSPITAL
WENATCHEE WA
98807-1887
US

V. Phone/Fax

Practice location:
  • Phone: 509-662-1511
  • Fax: 509-665-6081
Mailing address:
  • Phone: 509-662-1511
  • Fax: 509-665-6081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberRN00066399
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: