Provider Demographics
NPI:1508401670
Name:NELSON, ORION SETH (APRN FNP-C)
Entity Type:Individual
Prefix:
First Name:ORION
Middle Name:SETH
Last Name:NELSON
Suffix:
Gender:M
Credentials:APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 BOURLAND RD STE 150
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-3595
Mailing Address - Country:US
Mailing Address - Phone:817-753-6250
Mailing Address - Fax:817-431-1441
Practice Address - Street 1:100 BOURLAND RD STE 150
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-3595
Practice Address - Country:US
Practice Address - Phone:817-753-6250
Practice Address - Fax:817-431-1441
Is Sole Proprietor?:No
Enumeration Date:2019-11-13
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP143366363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily