Individual
BETY MIRANDA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1514 N GRAHAM ST, CHARLOTTE, NC 28206-3022
(704) 375-0172
Mailing address
4309 ONE MILE WAY, CHARLOTTE, NC 28215-6405
(704) 493-6001
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
5021607
NC
Other
Enumeration date
02/11/2025
Last updated
02/18/2025
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