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Individual
JUDITH A NELSON
Active
Individual
JUDITH A NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
94224030
WI
282N00000X
General Acute Care Hospital
Primary
94224030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35021800
—
WI
Enumeration date
04/28/2008
Last updated
04/28/2008
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