Doctor Name: | ANDREA KRANS NELSON |
NPI Number: | 1013267400 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | WHNP - BC |
License Number: | 0024170370 |
Business Practice Address: | 390 S Main St Ste 101 Rocky Mount, VA - 241511767 |
Business Phone Number: | 5404844836 |
Business Fax Number: | 5404844876 |
Mailing Address: | 390 S Main St Ste 101, ROCKY MOUNT |
State: | VA |
Postal Code: | 241511767 |
Phone Number: | 5404844836 |
Fax Number: | 5404844876 |
NPI Enumeration Date: | 09/13/2012 |
NPI Last Update Date: | 09/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 0024170370 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |