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David Enoch Nelson SR., NP-C
Family Nurse Practitioner in Gary, Indiana
NPI 1922302140

David Enoch Nelson SR. is a Family Nurse Practitioner based in Chicago, IN and is specialized in Family. David Enoch Nelson SR. practices in Gary, IN and has the professional credentials of NP-C. The NPI Number for David Enoch Nelson SR. is 1922302140 and holds a License No. 28149900A (Indiana).

The current practice location address for David Enoch Nelson SR. is 4900 Broadway, Gary, IN and can be reached out via phone at 219-237-5170 and via fax at 219-321-1931.

Location: 4900 Broadway, Gary, IN, 60607-1644
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922302140
Provider Name
David Enoch Nelson SR.
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
4900 Broadway, Gary, IN, 60607-1644
Phone Number
219-237-5170
Fax Number
219-321-1931
Provider Enumeration Date
01/03/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4900 Broadway
City
Gary
State
Indiana
Zip
46408-4605
Phone Number
219-237-5170
Fax Number
219-321-1931
person
Provider Business Mailing Address Details
Address
4900 Broadway
City
Gary
State
Indiana
Zip
46408-4605
Phone Number
219-237-5170
Fax Number
219-321-1931
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
28149900A (Indiana)
Definition
Definition to come...
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