Provider Demographics
NPI:1982007639
Name:NELSON, ERIN (MSN, RN, CPNP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:NELSON
Suffix:
Gender:F
Credentials:MSN, RN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6618 SITIO DEL RIO BLVD STE A101
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78730-1144
Mailing Address - Country:US
Mailing Address - Phone:512-241-1370
Mailing Address - Fax:512-241-1374
Practice Address - Street 1:6618 SITIO DEL RIO BLVD STE A101
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78730-1144
Practice Address - Country:US
Practice Address - Phone:512-241-1370
Practice Address - Fax:512-241-1374
Is Sole Proprietor?:No
Enumeration Date:2014-10-08
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX663586363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics