Individual
MRS. CHARLOTTE M NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P.
Contact information
Practice address
4551 E BOGARD RD, WASILLA, AK 99654-6075
(907) 373-6500
(888) 456-0663
Mailing address
4551 E BOGARD RD, WASILLA, AK 99654-6075
(907) 373-6500
(888) 456-0663
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
857
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4576
—
AK
Enumeration date
01/31/2007
Last updated
03/22/2013
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