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NPI Code Detail

MEDICARE: MS. RACHEL LEONOR NELSON NURSE PRACTITIONER

MEDICARE: MS. RACHEL LEONOR NELSON NURSE PRACTITIONER
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
1363LF0000XFamily Nurse PractitionerRN1002063DC
2363LF0000XFamily Nurse PractitionerR159325MD

General Provider Information

NPI Number : 1518163666
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RACHEL LEONOR NELSON NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 8850 COLUMBIA 100 PKWY STE 402
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-2378
Country : US
Telephone Number : 410-553-7897
Fax Number : 443-231-3688
Provider Business Practice Location Address
First Line : 8850 COLUMBIA 100 PKWY STE 402
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-2378
Country : US
Telephone Number : 410-553-7897
Fax Number : 443-231-3688
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2007
Last Update Date : 11/06/2024

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