NPI
Edmond Collin Nelson
NPI 1912285446
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2011-08-02
- Last updated
- 2026-10-15
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Specialties
Licenses
- License WV
- WV-SE-1846
- License AZ
- 65734
- License LA
- 321099
- License GA
- 79603
- License KY
- C0549
- License MO
- 2017027303
- License MS
- 23146
- License AL
- MD.32419
Location
- Practice location
- 751 Sappington Bridge Rd
- City
- Sullivan MO
- Postal code
- 63080-2354
- Phone
- (573) 468-4186
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Sullivan, MO. 239 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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