Nelson, Virginia M

Nelson, Virginia M is an individual health care provider with primary practice located at 130 Rose Ave , Staten Island NY 10306-2241. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Nelson, Virginia M can be contacted via phone (718) 980-1553.

Contact Information

Primary practice address
130 Rose Ave Staten Island NY 10306-2241
Phone: (718) 980-1553
Fax: (718) 980-1553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F304455-1 New York

Profile Details

NPI number 1396958278
LBN Legal business name Nelson, Virginia M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Jan 29th, 2011 - about 14 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 1396958278 NPPES
New York MEDICAID 03111075

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