Individual
MRS. WENDY NICOLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
300 W OAK ST, COTTAGE GROVE, WI 53527-9118
(608) 577-2276
Mailing address
300 W OAK ST, COTTAGE GROVE, WI 53527-9118
(608) 577-2276
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
194709-30
WI
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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