Provider Demographics
NPI:1114719317
Name:NELSEN, NANCY M
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:M
Last Name:NELSEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 WESTRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CRETE
Mailing Address - State:NE
Mailing Address - Zip Code:68333-3243
Mailing Address - Country:US
Mailing Address - Phone:402-416-6524
Mailing Address - Fax:
Practice Address - Street 1:450 WESTRIDGE RD
Practice Address - Street 2:
Practice Address - City:CRETE
Practice Address - State:NE
Practice Address - Zip Code:68333-3243
Practice Address - Country:US
Practice Address - Phone:402-416-6524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide