Most Relevant Information
Provider Data
| NPI Number: | 1003034703 |
| Provider Name: | STACY M NELSON RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0809X |
| Specialty: | Registered Nurse |
| License Number: | 281216-3102 |
Most Important Dates
| Enumeration Date: | 04/20/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
237 26TH ST
OGDEN
UT
844013105
Practice Location Phone/Fax
| Phone: | 8017786890 |
| Fax: |
Provider Mailing Location
PO BOX 3931
OGDEN
UT
844091931
Provider Mailing Phone/Fax
| Phone: | 8017786890 |
| Fax: |