Healthcare Provider Details

I. General information

NPI: 1255370011
Provider Name (Legal Business Name): CURTIS NORMAN NELSON MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 06/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 SNOW HILL RD
SALISBURY MD
21804-6031
US

IV. Provider business mailing address

6795 COOKES HOPE RD
EASTON MD
21601-8301
US

V. Phone/Fax

Practice location:
  • Phone: 410-912-6330
  • Fax:
Mailing address:
  • Phone: 410-819-0902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number0101255476
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberD62628
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: