Individual
NICHOLAS NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AG-ACNP
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-2231
(434) 924-9295
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0024189656
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
0024189656
VA
Other
Enumeration date
05/12/2023
Last updated
09/25/2024
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