Provider Demographics
NPI:1326164708
Name:NELSON, YVONNE M (MD)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:M
Last Name:NELSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14364 E EVANS AVE # 202
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1408
Mailing Address - Country:US
Mailing Address - Phone:303-466-2162
Mailing Address - Fax:303-907-0796
Practice Address - Street 1:14364 E EVANS AVE # 202
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1408
Practice Address - Country:US
Practice Address - Phone:303-368-5252
Practice Address - Fax:303-368-4349
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO355462083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO35546OtherCO MEDICAL LIC
CO35546OtherCO MEDICAL LIC