MEDICARE: DR. RHONDA NELSON DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	01318	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00380750	OTHER	MD	PALMETTO GBA -RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083603427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RHONDA NELSON DPM

Provider Business Mailing Address
First Line	:	12150 ANNAPOLIS ROAD
Second Line	:	SUITE 109
City	:	GLENN DALE
State	:	MD
Zip	:	20769-9183
Country	:	US
Telephone Number	:	301-773-1199
Fax Number	:	301-773-1198

Provider Business Practice Location Address
First Line	:	12150 ANNAPOLIS ROAD
Second Line	:	SUITE 109
City	:	GLENN DALE
State	:	MD
Zip	:	20769-9183
Country	:	US
Telephone Number	:	301-773-1199
Fax Number	:	301-773-1198

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	05/15/2015

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Directions to “ DR. RHONDA NELSON DPM” Practice Location

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