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Contact Information

SANDRA K NELSON, MD
424 YELLOWSTONE AVE.
STE 220
CODY, WY82414
 Phone: 307-578-2500
 Fax: 307-578-2492
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for SANDRA K NELSON · (Female)

NPI Number 1710071071
Status Active
Credentials MD
Entity Individual
Enumeration date 10/03/2006
Last updated 10/05/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 50611
  • WY License # 9486A
  • ID Medicaid IP805843700
  • WI Medicaid 34916000
  • Other 000010029939 BLUE CROSS BLUE SHIELD
  • ID Other 39859 BLUE CROSS
  • MT Other 35564 MONTANA MEDICAID
Hospital affiliation(s)
  • WEST PARK HOSPITAL DISTRICT - (Critical Access)
    707 SHERIDAN AVENUE
    CODY, WY 82414
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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