Individual
DANIELLE MARIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1215 LEE ST BOX 800904, CHARLOTTESVILLE, VA 22908-0816
(434) 924-1946
(434) 924-9492
Mailing address
400 MACK AVE, DETROIT, MI 48201-2136
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301517753
MI
207N00000X
Dermatology Physician
DR0055818
CO
207ND0900X
Dermatopathology Physician
4301517753
MI
390200000X
Student in an Organized Health Care Education/Training Program
0116040215
VA
Other
Enumeration date
06/21/2011
Last updated
07/08/2026
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