Theresa M Nelson, LMT
Community Health Worker in Port Charlotte, FL. Individual provider (NPI-1).
NPI number1639303449
StatusActive
Last updated in NPPESMay 7, 2009
Details
- NPI
- 1639303449
- Entity type
- Individual (NPI-1)
- Name
- Theresa M Nelson
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 7, 2009
- Last updated
- May 7, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | MA#54341 | FL | Yes |
Practice location
2570 Lakeshore CirPort Charlotte, FL 33952-4116
Phone 941-258-0995
Mailing address
2570 Lakeshore CirPort Charlotte, FL 33952-4116
Phone 941-258-0995
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