Provider Demographics
NPI:1578363982
Name:NELSON, EMMA I
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:I
Last Name:NELSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:529 N 15TH ST
Mailing Address - Street 2:
Mailing Address - City:COSHOCTON
Mailing Address - State:OH
Mailing Address - Zip Code:43812-1410
Mailing Address - Country:US
Mailing Address - Phone:740-610-5756
Mailing Address - Fax:
Practice Address - Street 1:1503 ADAMS ST
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812-1836
Practice Address - Country:US
Practice Address - Phone:740-294-1162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-14
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health