Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | DR0055818 | CO |
NPI | 1013203769 |
---|---|
Provider Name | Danielle Marie Nelson |
First Address | Denver, CO 80207-2931 |
Second Address | Denver, CO 80207-2931 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2011 |
Last Update Date | 12/10/2015 |