Provider Demographics
NPI:1154717288
Name:NELSON, AISLYN MARIE (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:AISLYN
Middle Name:MARIE
Last Name:NELSON
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11960 LIONESS WAY STE 225
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-5640
Mailing Address - Country:US
Mailing Address - Phone:719-992-0127
Mailing Address - Fax:720-749-5363
Practice Address - Street 1:11960 LIONESS WAY STE 225
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-5640
Practice Address - Country:US
Practice Address - Phone:719-992-0127
Practice Address - Fax:720-749-5363
Is Sole Proprietor?:No
Enumeration Date:2015-04-15
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0072201207N00000X
CAA147913174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology