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NPI Code Detail

MEDICARE: MS. CHRISTINA MARJORIE NELSON CFNP

MEDICARE:  MS. CHRISTINA MARJORIE NELSON  CFNP
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
1363LF0000XFamily Nurse PractitionerR16084NM
2363LF0000XFamily Nurse Practitioner265149CA

General Provider Information

NPI Number : 1750369484
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHRISTINA MARJORIE NELSON CFNP
Provider Business Mailing Address
First Line : 6638 SAINT ESTABAN ST
Second Line :
City : TUJUNGA
State : CA
Zip : 91042-3333
Country : US
Telephone Number : 818-353-6103
Fax Number :
Provider Business Practice Location Address
First Line : 6638 SAINT ESTABAN ST
Second Line :
City : TUJUNGA
State : CA
Zip : 91042-3333
Country : US
Telephone Number : 818-353-6103
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2006
Last Update Date : 05/02/2012

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Directions to “ MS. CHRISTINA MARJORIE NELSON CFNP” Practice Location

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