Alicia Marie Nelson, RN
Individual provider Active NPI Registered Nurse · Laplata, MD
NPI 1225326382 · NPPES record last updated May 26, 2015
Key facts
- NPI
- 1225326382
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R170263 (MD)
- Practice address
- 5 Garrett Ave
Laplata, MD 20646 - Phone
- (301) 609-7701
- Fax
- (301) 609-5200
- NPI assigned
- Jul 11, 2011
- 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)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R170263 | MD | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R170263 | MD | Yes |
Addresses
Primary practice location
5 Garrett Ave
Laplata, MD 20646
Mailing address
5 Garrett Ave
Laplata, MD 20646
Phone (301) 609-7701
Other providers in Laplata, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.