Individual
ANGELA ELISE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8607 E US HIGHWAY 36, AVON, IN 46123-7960
(317) 208-3855
(317) 718-6612
Mailing address
8607 E US HIGHWAY 36, AVON, IN 46123-7960
(317) 208-3855
(317) 718-6612
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
71008428A
IN
363LA2200X
Adult Health Nurse Practitioner
71008428A
IN
363LG0600X
Gerontology Nurse Practitioner
71008428A
IN
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
71008428A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300022306
—
IN
Enumeration date
10/16/2018
Last updated
06/18/2025
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