Provider Demographics
NPI:1548378821
Name:ALGER, NELLIE MARIE (MEDICAID WAIVER RESI)
Entity Type:Individual
Prefix:MISS
First Name:NELLIE
Middle Name:MARIE
Last Name:ALGER
Suffix:
Gender:F
Credentials:MEDICAID WAIVER RESI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 MILLER ST
Mailing Address - Street 2:
Mailing Address - City:BROADWAY
Mailing Address - State:VA
Mailing Address - Zip Code:22815-9043
Mailing Address - Country:US
Mailing Address - Phone:540-896-2228
Mailing Address - Fax:
Practice Address - Street 1:200 MILLER ST
Practice Address - Street 2:
Practice Address - City:BROADWAY
Practice Address - State:VA
Practice Address - Zip Code:22815-9403
Practice Address - Country:US
Practice Address - Phone:540-896-2228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker