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NPI Code Detail

MEDICARE: SUSAN DIANE NELSON

MEDICARE: SUSAN DIANE NELSON
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
13747P1801XPersonal Care AttendantWV

General Provider Information

NPI Number : 1306782586
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN DIANE NELSON
Provider Business Mailing Address
First Line : 1408 HARRISON AVE
Second Line :
City : ELKINS
State : WV
Zip : 26241-3325
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1408 HARRISON AVE
Second Line :
City : ELKINS
State : WV
Zip : 26241-3325
Country : US
Telephone Number : 304-636-4390
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2026
Last Update Date : 04/28/2026

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Directions to “ SUSAN DIANE NELSON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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