Individual
DEANNA R NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2851 UNIVERSITY AVE, GREEN BAY, WI 54311-5855
(920) 431-2500
Mailing address
2778 VIKING DR APT 2D, ASHWAUBENON, WI 54304-5473
(715) 308-8007
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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