Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA NELSON, D.O.
Active Sole ProprietorTARA NELSON, D.O. is a Nephrology healthcare provider located in MOUNT CLEMENS, Michigan. NPI 1598053340 is currently active in the NPPES registry. Verify at CMS.
Nephrology · MOUNT CLEMENS, MI
Registration Details
- NPI Number
- 1598053340
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 14, 2011 (15.117820576064 yrs)
- Last Updated
- Apr 6, 2022
- Licenses
-
5101019303 (MI)5101019303 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1000 HARRINGTON STMOUNT CLEMENS, MI, 480432920Browse MI providers · Browse ZIP 48043
- Phone
- 5864938195
- Primary Specialty
-
Nephrology
207RN0300X
- Additional Specialty
- Nephrology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.