Provider Demographics
NPI:1285471516
Name:NELSON, TESSA KAY (MS, GC)
Entity type:Individual
Prefix:
First Name:TESSA
Middle Name:KAY
Last Name:NELSON
Suffix:
Gender:F
Credentials:MS, GC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10279 E TROON NORTH DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85262-4572
Mailing Address - Country:US
Mailing Address - Phone:814-207-0880
Mailing Address - Fax:
Practice Address - Street 1:500 W THOMAS RD STE 700
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-4295
Practice Address - Country:US
Practice Address - Phone:602-406-7048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-12
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS