Individual
KAREN H NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
210 NW BARSTOW ST, SUITE 201, WAUKESHA, WI 53188-3771
(262) 548-6903
(262) 548-3820
Mailing address
210 NW BARSTOW ST, SUITE 201, WAUKESHA, WI 53188-3771
(262) 548-6903
(262) 548-3820
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
015291
ME
207Q00000X
Family Medicine Physician
Primary
52000
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022425
ANTHEM
ME
05
—
102320000
—
ME
05
—
1225097405
—
WI
01
—
2183007
FIRST HEALTH
—
01
—
4657228
AETNA US HEALTHCARE
—
Enumeration date
03/17/2006
Last updated
03/31/2014
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