Individual
ANDREW ALONZO NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4106 PORTSMOUTH BLVD, PORTSMOUTH, VA 23701-2968
(757) 393-1136
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(757) 393-1136
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101258016
VA
207Q00000X
Family Medicine Physician
MD00034782
WA
Other
Enumeration date
01/24/2006
Last updated
03/27/2020
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