Provider Demographics
NPI:1598400871
Name:NELSON, KALI (WHNP-BC)
Entity Type:Individual
Prefix:
First Name:KALI
Middle Name:
Last Name:NELSON
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:KALI
Other - Middle Name:
Other - Last Name:PIERCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:G3371 BEECHER RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3621
Mailing Address - Country:US
Mailing Address - Phone:810-238-3631
Mailing Address - Fax:810-234-5206
Practice Address - Street 1:G3371 BEECHER RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3621
Practice Address - Country:US
Practice Address - Phone:810-238-3631
Practice Address - Fax:810-234-5206
Is Sole Proprietor?:No
Enumeration Date:2022-05-02
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704338242363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health