Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 0024170370 | VA |
NPI | 1013267400 |
---|---|
Provider Name | Andrea Krans Nelson |
First Address | Newport News, VA 23606-4437 |
Second Address | Newport News, VA 23606-4437 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2012 |
Last Update Date | 29/09/2016 |