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NPI Code Detail

MEDICARE: BRIANNA NICOLE NELSON CCC-SLP

MEDICARE: BRIANNA NICOLE NELSON CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist31391CA

General Provider Information

NPI Number : 1093652653
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANNA NICOLE NELSON CCC-SLP
Provider Business Mailing Address
First Line : 13461 RAMONA AVE
Second Line :
City : CHINO
State : CA
Zip : 91710-5029
Country : US
Telephone Number : 909-628-1202
Fax Number :
Provider Business Practice Location Address
First Line : 13461 RAMONA AVE
Second Line :
City : CHINO
State : CA
Zip : 91710-5029
Country : US
Telephone Number : 909-628-1202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2026
Last Update Date : 05/01/2026

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Directions to “ BRIANNA NICOLE NELSON CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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