Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | P006541 | MD |
NPI | 1063948826 |
---|---|
Provider Name | Dr. Shaina Lynn Nelson |
First Address | Hagerstown, MD 21740-7356 |
Second Address | Hagerstown, MD 21740-6138 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2017 |
Last Update Date | 17/08/2021 |