Individual
MRS. NAKITA NICHELLE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19021 ROCK MAPLE DR, HAGERSTOWN, MD 21742-2458
(301) 790-0170
Mailing address
19021 ROCK MAPLE DR, HAGERSTOWN, MD 21742-2458
(301) 790-0170
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
E0930X
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720234214
—
MD
Enumeration date
08/15/2008
Last updated
07/07/2016
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