person
Suellen Nelson, PA-C
Medical Physician Assistant in Fishkill, New York
NPI 1811025257

Suellen Nelson is a Medical Physician Assistant based in Fishkill, NY and is specialized in Medical. Suellen Nelson practices in Fishkill, NY and has the professional credentials of PA-C. The NPI Number for Suellen Nelson is 1811025257 and holds a License No. 000463 (New York).

The current practice location address for Suellen Nelson is 969 Main St, Fishkill, NY and can be reached out via phone at 845-896-7730.

Location: 969 Main St, Fishkill, NY, 12524-1791
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Provider Profile Details
NPI Number
1811025257
Provider Name
Suellen Nelson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
969 Main St, Fishkill, NY, 12524-1791
Phone Number
845-896-7730
Fax Number
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A400085151 01 NY MEDICARE PTAN
04956290 05 NY
institution
Provider Business Practice Location Address Details
Address
969 Main St
City
State
Zip
12524
Phone Number
845-896-7730
Fax Number
person
Provider Business Mailing Address Details
Address
969 Main St
City
State
Zip
12524
Phone Number
845-896-7730
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
003700 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
000463 (Connecticut)
Definition
Definition to come...
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