Provider Demographics
NPI:1285473405
Name:NELSON, FALON MARIE
Entity type:Individual
Prefix:
First Name:FALON
Middle Name:MARIE
Last Name:NELSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 INDIAN ROCK LN
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-3337
Mailing Address - Country:US
Mailing Address - Phone:316-371-1503
Mailing Address - Fax:
Practice Address - Street 1:3460 N RIDGE RD STE 120
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67205-1223
Practice Address - Country:US
Practice Address - Phone:316-272-0800
Practice Address - Fax:316-272-0600
Is Sole Proprietor?:No
Enumeration Date:2024-05-20
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-141853-012163WP0808X
KS53-84419-012363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health