Provider Demographics
NPI:1962714378
Name:NELSON, MILRINETTE THOMASINA (BSN, RN)
Entity type:Individual
Prefix:MS
First Name:MILRINETTE
Middle Name:THOMASINA
Last Name:NELSON
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 JOHN WESLEY DOBBS AVE NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30312-1329
Mailing Address - Country:US
Mailing Address - Phone:404-523-3378
Mailing Address - Fax:404-893-0689
Practice Address - Street 1:515 JOHN WESLEY DOBBS AVE NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-1329
Practice Address - Country:US
Practice Address - Phone:404-523-3378
Practice Address - Fax:404-893-0689
Is Sole Proprietor?:No
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN102581163W00000X, 163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WG0600XNursing Service ProvidersRegistered NurseGerontology