Individual
NELSON ENOR AIREWELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5801 BREMO RD, RICHMOND, VA 23226-1907
(804) 287-7270
(804) 285-0726
Mailing address
4921 GARDEN CLUB CIR, APT 307, GLEN ALLEN, VA 23059-7562
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101256211
VA
207R00000X
Internal Medicine Physician
100082
GA
208M00000X
Hospitalist Physician
0101256211
VA
208M00000X
Hospitalist Physician
100082
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06778
GROUP PTAN
VA
Enumeration date
04/02/2012
Last updated
08/15/2024
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