Terri Leona Nelson, R.N.

Individual provider Active NPI Registered Nurse · Clearbrook, MN

NPI 1306204912 · NPPES record last updated Feb 10, 2016

Key facts

NPI
1306204912
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R113991-2 (MN)
Practice address
221 3Rd Ave SW
Clearbrook, MN 56634-4241
Phone
(218) 776-3508
Fax
(218) 776-3507
NPI assigned
Feb 10, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R113991-2MNMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R113991-2 MN Yes

Addresses

Primary practice location

221 3Rd Ave SW
Clearbrook, MN 56634-4241

Mailing address

P.O. Box 183
Clearbrook, MN 56634-4241
Phone (218) 776-3508

Other providers in Clearbrook, MN

All providers in Clearbrook, MN · Registered Nurse in Minnesota

Sources for this page

Verify at the official NPI Registry.