Provider Demographics
NPI:1710040472
Name:NELSON, RUTH EILEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:EILEEN
Last Name:NELSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10297 SCRIPPS TRL
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-2307
Mailing Address - Country:US
Mailing Address - Phone:858-586-0443
Mailing Address - Fax:858-586-0563
Practice Address - Street 1:10297 SCRIPPS TRL
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-2307
Practice Address - Country:US
Practice Address - Phone:858-586-0443
Practice Address - Fax:858-586-0563
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-17
Last Update Date:2014-02-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA40904207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine