Individual
NICHOLE R NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937-2999
(920) 907-7025
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
218539
WI
363L00000X
Nurse Practitioner
Primary
10340
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100120873
—
WI
Enumeration date
05/28/2020
Last updated
09/10/2025
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