Individual
ANGELA MICHELLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-BC
Contact information
Practice address
1908 N KY 7, SANDY HOOK, KY 41171-7172
(606) 738-9339
(606) 738-9992
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3008195
KY
363LF0000X
Family Nurse Practitioner
Primary
3008195
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000930476
ANTHEM
KY
05
—
7100354860
—
KY
Enumeration date
07/24/2013
Last updated
02/04/2022
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