Provider Demographics
NPI:1205342508
Name:NELSON, ARSHAD (FNP)
Entity type:Individual
Prefix:
First Name:ARSHAD
Middle Name:
Last Name:NELSON
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 OLD NYACK TPKE STE 505
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-2453
Mailing Address - Country:US
Mailing Address - Phone:845-352-2899
Mailing Address - Fax:
Practice Address - Street 1:55 OLD NYACK TPKE STE 505
Practice Address - Street 2:
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-2453
Practice Address - Country:US
Practice Address - Phone:845-352-2899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-21
Last Update Date:2017-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY342301363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily