Healthcare Provider Details

I. General information

NPI: 1235150897
Provider Name (Legal Business Name): MARGARET E NELSON RN, MSN, CHPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44405 WOODWARD AVE
PONTIAC MI
48341-5023
US

IV. Provider business mailing address

44405 WOODWARD AVE
PONTIAC MI
48341-5023
US

V. Phone/Fax

Practice location:
  • Phone: 248-858-6818
  • Fax: 248-858-3067
Mailing address:
  • Phone: 248-858-6818
  • Fax: 248-858-3067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0000X
TaxonomyPain Management Registered Nurse
License Number4704131227
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704131227
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: