Individual
SHELLEY ANDREA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1663 E 17TH ST, BROOKLYN, NY 11229-1259
(718) 339-9700
Mailing address
1663 E 17TH ST, BROOKLYN, NY 11229-1259
(718) 339-9700
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
528810-1
NY
163WS0200X
School Registered Nurse
Primary
528810-1
NY
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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