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General NPI Number Information
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NPI Number | 1629725015
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Entity Type | Individual
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Provider Name | JOSHUA NELSEN PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 03/04/2022
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 6161 W CHARLESTON BLVD BLDG 1
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City | LAS VEGAS
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State | NV
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Zip | 89146-1126
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Country | US
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Telephone | 702-625-1879
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Fax |
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Provider Business Mailing Address
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Address Line | 12220 CHATTANOOGA PLZ # 119
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-4865
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Country | US
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Telephone | 702-625-1879
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Fax | 804-566-4721
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 819017
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License Number State | NV
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