| Doctor Name: | ANGELA MICHELLE NELSON |
| NPI Number: | 1659713204 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN FNP-BC |
| License Number: | 3008195 |
| Business Practice Address: | 1908 N Ky 7 Sandy Hook, KY - 41171 |
| Business Phone Number: | 6067389339 |
| Business Fax Number: | |
| Mailing Address: | 605 Holcomb St, GRAYSON |
| State: | KY |
| Postal Code: | 411431219 |
| Phone Number: | 3045442742 |
| Fax Number: | |
| NPI Enumeration Date: | 07/24/2013 |
| NPI Last Update Date: | 05/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3008195 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |