Provider Demographics
NPI:1760260152
Name:NELSON, YURIKO ELAINE (RN)
Entity Type:Individual
Prefix:
First Name:YURIKO
Middle Name:ELAINE
Last Name:NELSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63711 PAINTER RD
Mailing Address - Street 2:
Mailing Address - City:PACIFIC JUNCTION
Mailing Address - State:IA
Mailing Address - Zip Code:51561-4231
Mailing Address - Country:US
Mailing Address - Phone:505-710-3392
Mailing Address - Fax:
Practice Address - Street 1:4101 WOOLWORTH AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-1850
Practice Address - Country:US
Practice Address - Phone:402-346-8800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRN-70922163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse