Provider Demographics
NPI:1760770242
Name:NELSON, ANASTASIA S (PA-C)
Entity Type:Individual
Prefix:
First Name:ANASTASIA
Middle Name:S
Last Name:NELSON
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:3745 HOLLAND RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-2847
Mailing Address - Country:US
Mailing Address - Phone:757-395-1700
Mailing Address - Fax:757-507-9004
Practice Address - Street 1:3636 HIGH ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707-3236
Practice Address - Country:US
Practice Address - Phone:757-398-2200
Practice Address - Fax:757-398-2162
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-18
Last Update Date:2016-11-16
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant