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Contact Information

CAROLINE NELSON, PA-C
1718 E KESSLER BLVD
LONGVIEW, WA98632
 Phone: 360-747-5800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Emergency Medical Technician, Basic

146N00000X
 

Medical

363AM0700X 97 Physician Assistant
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for CAROLINE NELSON · (Female)

NPI # 1316434210
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 04/16/2018
Last updated 06/12/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • License # E1751525
  • License # LICENSE
  • WA License # PA60898310
Hospital affiliation(s)
  • PEACHEALTH ST JOHN MEDICAL CENTER - (Acute Care)
    1615 DELAWARE STREET
    LONGVIEW, WA 98632
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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