Provider Demographics
NPI:1033364484
Name:NELSON, NIKIA S (CRNA)
Entity Type:Individual
Prefix:
First Name:NIKIA
Middle Name:S
Last Name:NELSON
Suffix:
Gender:F
Credentials:CRNA
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2 CATHARINE STREET, P.O. BOX 550
Mailing Address - Street 2:PARK SLOPE ANESTHESIA ASSOCIATES, PC
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12602
Mailing Address - Country:US
Mailing Address - Phone:866-868-8416
Mailing Address - Fax:845-452-2520
Practice Address - Street 1:506 6TH STREET
Practice Address - Street 2:NY METHODIST HOSPITAL
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215
Practice Address - Country:US
Practice Address - Phone:718-780-3279
Practice Address - Fax:718-780-3281
Is Sole Proprietor?:No
Enumeration Date:2008-11-27
Last Update Date:2017-10-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY512954-1367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered