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Terrance Nelson
NPI 1740526128 · on the registry since 2012
Practice
- Address
- 1375 W 3600 S
Rexburg, ID 83440 - Phone
- (208) 356-4253
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-12-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho