Provider Demographics
NPI:1043935760
Name:NELSON, ISABEL DENISE (RPH)
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:DENISE
Last Name:NELSON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:I.
Other - Middle Name:DENISE
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:540 WREN LN
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-4643
Mailing Address - Country:US
Mailing Address - Phone:830-237-1392
Mailing Address - Fax:
Practice Address - Street 1:1910 STATE HIGHWAY 46 W
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78132-5245
Practice Address - Country:US
Practice Address - Phone:830-620-9926
Practice Address - Fax:830-455-9926
Is Sole Proprietor?:No
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29320183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist