Dr. Averly H Nelson, M.D.
Psychiatry & Neurology, Psychiatry in Medical Lake, WA. Individual provider (NPI-1).
NPI number1144202011
StatusActive
Last updated in NPPESNov 2, 2016
Details
- NPI
- 1144202011
- Entity type
- Individual (NPI-1)
- Name
- Dr. Averly H Nelson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2005
- Last updated
- Nov 2, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | MD00012481 | WA | Yes |
Practice location
850 Maple StreetEastern State Hospital
Medical Lake, WA 99022-0800
Phone 509-565-4000 · Fax 509-565-4705
Mailing address
Po Box 800Eastern State Hospital
Medical Lake, WA 99022-0800
Phone 509-565-4000 · Fax 509-565-4705
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