Dale A Nelson
Geriatric Medicine
1215 N Mcdonald Rd Ste 101
Spokane Valley
, Washington 99216-1048
Dale A Nelson
Geriatric Medicine
1215 N Mcdonald Rd Ste 101
Spokane Valley
, Washington 99216-1048
(509) 921-0017
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dale A Nelson
- 1215 N Mcdonald Rd Ste 101
- Spokane Valley, WA
- Zip : 99216-1048
- Fax : (509) 921-0017
- Phone : (509) 924-1950
Second Address
- Dale A Nelson
- 1215 N Mcdonald Rd Ste 101
- Spokane Valley, WA
- Zip : 99216-1048
- Fax : (509) 921-0017
- Phone : (509) 924-1950
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | MD00017395 | WA |
National Provider Identifier
| NPI | 1063420180 |
|---|---|
| Provider Name | Dale A Nelson |
| First Address | Spokane Valley, WA 99216-1048 |
| Second Address | Spokane Valley, WA 99216-1048 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/08/2006 |
| Last Update Date | 01/05/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1159201 | (05) | WA |
| 910987719 | PREMERA (01) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.