Individual
ELIZABETH NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5249 E TERRACE DR, MADISON, WI 53718-8339
(608) 265-1288
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2358-23
WI
363AM0700X
Medical Physician Assistant
Primary
2358
WI
364SF0001X
Family Health Clinical Nurse Specialist
2358-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265685754
—
WI
01
—
61038
DEAN HEALTH INSURANCE
WI
Enumeration date
10/28/2008
Last updated
03/13/2024
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