Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PENELOPE IVY NELSON, LADC
Active Sole ProprietorPENELOPE IVY NELSON, LADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in WINNEBAGO, Minnesota. NPI 1710640032 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · WINNEBAGO, MN
Registration Details
- NPI Number
- 1710640032
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 14, 2021 (4.8158378988616 yrs)
- Last Updated
- Oct 14, 2021
- License
-
305553 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
132 1ST AVE SEWINNEBAGO, MN, 560981052Browse MN providers · Browse ZIP 56098
- Phone
- 6128770276
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
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.