Provider Demographics
NPI:1144908336
Name:NELSON, NATASHA DANYEL
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:DANYEL
Last Name:NELSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4970 WORCHESTER ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239-4363
Mailing Address - Country:US
Mailing Address - Phone:720-366-9103
Mailing Address - Fax:
Practice Address - Street 1:4970 WORCHESTER ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80239-4363
Practice Address - Country:US
Practice Address - Phone:720-366-9103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102X00000XBehavioral Health & Social Service ProvidersPoetry Therapist