Nelson, Charlotte M

Nelson, Charlotte M is an individual health care provider with primary practice located at 4551 E Bogard Rd , Wasilla AK 99654-6075. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Nelson, Charlotte M can be contacted via phone (907) 373-6500.

Contact Information

Primary practice address
4551 E Bogard Rd Wasilla AK 99654-6075
Phone: (907) 373-6500
Fax: (888) 456-0663
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 857 Alaska

Profile Details

NPI number 1073650628
LBN Legal business name Nelson, Charlotte M
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Mar 22nd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073650628 NPPES
Alaska MEDICAID NP4576

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