Berit Nelson, FNP

Individual provider Active NPI Family Nurse Practitioner · Waterville, NY

NPI 1174514293 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1174514293
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
F330574-1 (NY)
Practice address
117 W Main St
Waterville, NY 13480-1165
Phone
(315) 841-4178
Fax
(315) 841-4338
NPI assigned
Oct 31, 2005
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
F330574-1NYMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F330574-1 NY Yes

Addresses

Primary practice location

117 W Main St
Waterville, NY 13480-1165

Mailing address

117 W Main St
Waterville, NY 13480-1165
Phone (315) 841-4178

Other providers in Waterville, NY

All providers in Waterville, NY · Family Nurse Practitioner in New York

Sources for this page

Verify at the official NPI Registry.