Individual
TRACY LYNN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
5600 W RAWSON AVE STE 101, FRANKLIN, WI 53132-9279
(262) 290-4540
(262) 299-6435
Mailing address
16650 W BLUEMOUND RD STE 600, BROOKFIELD, WI 53005-5970
(262) 290-4540
(262) 299-6435
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
116517-30
WI
363LF0000X
Family Nurse Practitioner
Primary
3486-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116517
STATE OF WISCONSIN RN LICENSE NUMBER
WI
01
—
3486-033
WISCONSIN ADVANCED PRACTICE NURSE PRESCRIBER LICENSE
WI
05
—
36095200
—
WI
Enumeration date
09/10/2008
Last updated
07/29/2025
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