Provider Demographics
NPI:1861951683
Name:NELSON, HAILEE LYNN (MD)
Entity type:Individual
Prefix:
First Name:HAILEE
Middle Name:LYNN
Last Name:NELSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 BURNET AVE, MLC 7012
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3039
Mailing Address - Country:US
Mailing Address - Phone:513-636-4744
Mailing Address - Fax:513-803-1174
Practice Address - Street 1:3333 BURNET AVENUE
Practice Address - Street 2:MLC 7012
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3039
Practice Address - Country:US
Practice Address - Phone:513-636-4744
Practice Address - Fax:513-803-1174
Is Sole Proprietor?:No
Enumeration Date:2019-03-19
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program