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Contact Information

KRYSTAL D NELSON, OD
516 EAST NIZHONI BLVD
GALLUP, NM87301
 Phone: 505-722-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KRYSTAL D NELSON · (Female)

NPI Number 1851961445
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/28/2021
Last updated 08/05/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 12351314-9934
Hospital affiliation(s)
  • GALLUP INDIAN MEDICAL CENTER - (Acute Care)
    516 E NIZHONI BLVD
    GALLUP, NM 87301
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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