Individual
ANGIE ERICKA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LN, LDN,CNS, NBC-HWC
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
N242
MN
133V00000X
Registered Dietitian
Primary
164.011686
IL
136A00000X
Registered Dietetic Technician
—
—
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
05/18/2022
Last updated
07/21/2025
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