Ison, Nelvin Glenn Bergonia

Ison, Nelvin Glenn Bergonia is an sole proprietor health care provider with primary practice located at 310 E Pulaski Hwy , Elkton MD 21921-6435. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Ison, Nelvin Glenn Bergonia can be contacted via phone (443) 485-6213.

Contact Information

Primary practice address
310 E Pulaski Hwy Elkton MD 21921-6435
Phone: (443) 485-6213
Fax: (443) 485-6226
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R176504 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R176504 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R176504 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X LG-0012948 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X LG-0012948 Delaware

Profile Details

NPI number 1447811534
LBN Legal business name Ison, Nelvin Glenn Bergonia
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2019
Last updated Oct 29th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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