Individual
MRS. ANGELA A NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1158 60TH AVE, ROBERTS, WI 54023-8331
(651) 261-6428
Mailing address
1158 60TH AVE, ROBERTS, WI 54023-8331
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313875-031
WI
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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