Provider Demographics
NPI:1083051536
Name:NELSON, VIOLA (PCA,HHA)
Entity Type:Individual
Prefix:MS
First Name:VIOLA
Middle Name:
Last Name:NELSON
Suffix:
Gender:F
Credentials:PCA,HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10714 WATSON PL
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11433-2511
Mailing Address - Country:US
Mailing Address - Phone:929-268-6715
Mailing Address - Fax:347-561-9157
Practice Address - Street 1:10714 WATSON PL
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11433-2511
Practice Address - Country:US
Practice Address - Phone:929-268-6715
Practice Address - Fax:347-561-9157
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-23
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No372600000XNursing Service Related ProvidersAdult Companion
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant