Individual provider · Type 1 NPI
Ruby Nelson
Driver · Riverdale, IL
NPI number
1437789732
Active
Practice location
14429 S Emerald Ave
Riverdale, IL 60827-2618
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | N425-7405-4765 (IL) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Riverdale
About NPI 1437789732
Ruby Nelson's National Provider Identifier is 1437789732, issued on Jan 25, 2020. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Riverdale, IL. The record was last updated on Jan 25, 2020.