Individual provider · Type 1 NPI

Nelvin Glenn Bergonia Ison, CRNP

Family Nurse Practitioner · Elkton, MD

NPI number 1447811534 Active

Practice location

310 E Pulaski Hwy
Elkton, MD 21921-6435

Fax (443) 485-6226

Mailing address

104 Plumtree Rd
Bel Air, MD 21015-6095

Other practice locations

  • 6600 York Rd Ste 207, Baltimore, MD 21212-2024 · (410) 864-8181
  • 104 Plumtree Rd, Bel Air, MD 21015-6095 · (410) 515-4300
  • 200 Hygeia Dr, Newark, DE 19713-2049 · (302) 273-1701

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XR176504 (MD)
Nurse Practitioner 363L00000XR176504 (MD)
Family Nurse Practitioner Primary 363LF0000XR176504 (MD)
Nurse Practitioner 363L00000XLG-0012948 (DE)
Family Nurse Practitioner 363LF0000XLG-0012948 (DE)

Family Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1447811534

Nelvin Glenn Bergonia Ison, CRNP's National Provider Identifier is 1447811534, issued on Jun 28, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Elkton, MD. The record was last updated on Oct 29, 2024.