Angela Nelson
Individual provider Active NPI Foster Care Agency · Chisholm, MN
NPI 1972210342 · NPPES record last updated Nov 3, 2022
Key facts
- NPI
- 1972210342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foster Care Agency 253J00000X
- License
- 1112151
- Practice address
- 112 8TH St NE
Chisholm, MN 55719-1234 - Phone
- (218) 966-0221
- NPI assigned
- Nov 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | 1112151 | Yes |
Addresses
Primary practice location
112 8TH St NE
Chisholm, MN 55719-1234
Mailing address
112 8TH St NE
Chisholm, MN 55719-1234
Phone (218) 966-0221
Other providers in Chisholm, MN
- Christina Jacklyn Kirchen
- Lindsay Kozumplik
- Longyear Inc of Chisholm
- Janice Ann Mehle
- Michael Joseph Mitchell
- NHS Northstar, Inc.
- Northern Tranquility Mental Health Services
- Erin Margaret Patch
- Range Center, Inc
- Jonathan E Rohde
All providers in Chisholm, MN · Foster Care Agency in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2022. 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.