Dr. Loren Douglas Nelson
Trauma Surgeon Surgical Critical Care
445 Flat Creek Dr # 3999
Jackson
, Wyoming 83001-9173
Dr. Loren Douglas Nelson
Trauma Surgeon Surgical Critical Care
445 Flat Creek Dr # 3999
Jackson
, Wyoming 83001-9173
(305) 542-9038
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About
Features
Specialties
- Surgical Critical Care
- Trauma Surgeon
Languages spoken
- English
Location
First Address
- Dr. Loren Douglas Nelson
- Po Box 3999
- Jackson, WY
- Zip : 83001-3999
- Phone : (305) 542-9038
Second Address
- Dr. Loren Douglas Nelson
- 445 Flat Creek Dr # 3999
- Jackson, WY
- Zip : 83001-9173
- Phone : (305) 542-9038
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2086S0102X | Surgical Critical Care | ME69015 | FL |
| Y | 2086S0127X | Trauma Surgeon | TL2018 | WY |
National Provider Identifier
| NPI | 1053376889 |
|---|---|
| Provider Name | Dr. Loren Douglas Nelson |
| First Address | Jackson, WY 83001-3999 |
| Second Address | Jackson, WY 83001-9173 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/04/2006 |
| Last Update Date | 19/04/2013 |
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.