Provider Demographics
NPI:1336255025
Name:NELSON, ERIN N (DPM)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:N
Last Name:NELSON
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:N
Other - Last Name:VIERKANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:1606 S DUFF AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-8156
Mailing Address - Country:US
Mailing Address - Phone:515-444-2390
Mailing Address - Fax:515-898-8586
Practice Address - Street 1:1606 S DUFF AVE STE 500
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-8156
Practice Address - Country:US
Practice Address - Phone:515-444-2390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00796213E00000X, 213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist