Individual
MS. VICKI DAUNELLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
790 EASTGATE DR, RIPON, WI 54971-9614
(920) 745-3590
(920) 745-7899
Mailing address
790 EASTGATE DR, RIPON, WI 54971-9614
(920) 745-3590
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4341-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4341-33
APNP
WI
Enumeration date
02/04/2011
Last updated
12/10/2020
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