Individual
LAURA ELIZABETH YAHR NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1220 DEWEY AVE, WAUWATOSA, WI 53213-2504
(401) 454-6600
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 773-4312
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD14420
RI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
66965-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100069130
—
WI
Enumeration date
06/16/2011
Last updated
11/02/2023
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