Individual
MICHELE L. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2529 PROFESSIONAL RD, NORTH CHESTERFIELD, VA 23235
(804) 323-2255
(804) 323-2262
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001120224
VA
363LF0000X
Family Nurse Practitioner
Primary
0024164019
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10085110
—
VA
Enumeration date
03/23/2006
Last updated
06/14/2018
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