MEDICARE: DEATRICE NELSON

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
1	2279P3900X	Neonatal/Pediatric Registered Respiratory Therapist	RT5907	FL

General Provider Information

NPI Number	:	1093977373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEATRICE NELSON

Provider Business Mailing Address
First Line	:	3702 E 1ST CT
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32401-5719
Country	:	US
Telephone Number	:	850-691-7044
Fax Number	:

Provider Business Practice Location Address
First Line	:	3702 E 1ST CT
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32401-5719
Country	:	US
Telephone Number	:	850-691-7044
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2008
Last Update Date	:	08/30/2010

Similar Medicare Providers

1427080365 — FREDS STORES OF TENNESSEE INC
Practice Location Address:

1405 S HOME ST
UNION CITY, TN
38261-5719

Practice Phone: 731-885-9242
Practice Fax: 731-885-1443

1740627447 — CAPITAL DENTISTRY FOR CHILDREN LLC
Practice Location Address:

931 WILDWOOD DR STE 104
JEFFERSON CITY, MO
65109-5719

Practice Phone: 573-874-1990
Practice Fax:

1215339866 — MR. ERME DON DOYLE III LPN
Practice Location Address:

493 SW ARREDONDO PL
LAKE CITY, FL
32025-5719

Practice Phone: 386-965-3788
Practice Fax:

1932645652 — SARA E CREEL
Practice Location Address:

41 NE 238TH STREET
CROSS CITY, FL
32693-5719

Practice Phone: 352-471-0069
Practice Fax: 352-244-0304

1841840832 — MEGAN GENEVIEVE FLANAGAN
Practice Location Address:

41 NE 238TH STREET
CROSS CITY, FL
32628-5719

Practice Phone: 352-471-0069
Practice Fax:

1952944670 — CHRISTY L. GREEN
Practice Location Address:

41 NE 238TH STREET
CROSS CITY, FL
32628-5719

Practice Phone: 352-471-0069
Practice Fax:

Directions to “ DEATRICE NELSON ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.