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Contact Information

KRISTA N NELSON, DPM
235 S MAIN ST STE B
EDWARDSVILLE, IL62025
 Phone: 618-307-9015
 Fax: 618-307-9017
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KRISTA N NELSON · (Female)

NPI Number 1831324342
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/28/2009
Last updated 04/10/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 016005540
  • MO License # 2012023303
Hospital affiliation(s)
  • ALTON MEMORIAL HOSPITAL - (Acute Care)
    ONE MEMORIAL DRIVE
    ALTON, IL 62002
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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