Individual provider · Type 1 NPI
Christina Marie Nelson, APRN, CPNP-PC
Pediatric Nurse Practitioner · Kansas City, MO
NPI number
1124786306
Active
Practice location
2401 Gillham Rd
Kansas City, MO 64108-4619
Fax (816) 302-9939
Mailing address
2401 Gillham Road, Provider Enrollment Department
Kansas City, MO 64108-4619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 2010020963 (MO) |
| Pediatric Nurse Practitioner | 363LP0200X | 53-79675-071 (KS) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2020038841 (MO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1124786306
Christina Marie Nelson, APRN, CPNP-PC's National Provider Identifier is 1124786306, issued on Dec 3, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Kansas City, MO. The record was last updated on Dec 3, 2021.