Provider Demographics
NPI:1912402314
Name:NELSON, ADRIANA CHRISTINE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:CHRISTINE
Last Name:NELSON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:ADRIANA
Other - Middle Name:CHRISTINE
Other - Last Name:FURLETTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:6760 CORPORATE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80919-1987
Mailing Address - Country:US
Mailing Address - Phone:719-203-5187
Mailing Address - Fax:719-645-8486
Practice Address - Street 1:6760 CORPORATE DR STE 200
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919-1987
Practice Address - Country:US
Practice Address - Phone:719-203-5187
Practice Address - Fax:719-645-8486
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP11294363LF0000X
COAPN.0996422-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily