MEDICARE: MS. DAYON ROCHELLE NELSON CRNP

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	363LA2200X	Adult Health Nurse Practitioner	R176633	MD

General Provider Information

NPI Number	:	1215284674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DAYON ROCHELLE NELSON CRNP

Provider Business Mailing Address
First Line	:	8160 WASHINGTON BLVD APT 543
Second Line	:
City	:	JESSUP
State	:	MD
Zip	:	20794-8804
Country	:	US
Telephone Number	:	202-369-8199
Fax Number	:

Provider Business Practice Location Address
First Line	:	1952 PULASKI HWY
Second Line	:
City	:	EDGEWOOD
State	:	MD
Zip	:	21040-1617
Country	:	US
Telephone Number	:	410-676-1463
Fax Number	:

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

Provider Enumeration Date	:	08/04/2012
Last Update Date	:	08/13/2012

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