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General NPI Number Information
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NPI Number | 1952525396
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Entity Type | Individual
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Provider Name | COLETTE NELSON FNP
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Gender | Female
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 109 THE ESPLANADE S APT 303
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City | VENICE
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State | FL
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Zip | 34285-2136
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Country | US
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Telephone | 646-896-6610
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Fax | 212-937-3325
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Provider Business Mailing Address
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Address Line | 205 3RD AVE APT 8D
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City | NEW YORK
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State | NY
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Zip | 10003-2510
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Country | US
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Telephone | 646-896-6610
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Fax | 212-937-3325
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 847969
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 20110545
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 20110545
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 355184
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704380646
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License Number State | MI
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Taxonomy #7
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 4704380646
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License Number State | MI
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Taxonomy #8
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 82438701
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License Number State | NY
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