Individual
SHARON A NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-1000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
101618
WI
363L00000X
Nurse Practitioner
Primary
1882
WI
363LN0000X
Neonatal Nurse Practitioner
1882
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100012859
—
WI
Enumeration date
07/24/2008
Last updated
05/01/2024
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