MEDICARE: KAREN C NELSON MD PA

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	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	44460	CO

General Provider Information

NPI Number	:	1740376839
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAREN C NELSON MD PA

Provider Business Mailing Address
First Line	:	744 HORIZON CT
Second Line	:	SUITE 350
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81506-3921
Country	:	US
Telephone Number	:	970-241-7892
Fax Number	:	970-241-1725

Provider Business Practice Location Address
First Line	:	744 HORIZON CT
Second Line	:	SUITE 350
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81506-3921
Country	:	US
Telephone Number	:	970-241-7892
Fax Number	:	970-241-1725

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	KAREN C NELSON
Credential	:	MD
Telephone Number	:	970-241-7892

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	08/22/2020

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