Individual
STEPHANIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RDN CD CSO
Contact information
Practice address
2500 S ASHLAND AVE, GREEN BAY, WI 54304-5252
(920) 497-1161
Mailing address
2500 S ASHLAND AVE, GREEN BAY, WI 54304-5252
(920) 497-1161
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1065848
WI
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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