Individual
ERIC LELAND NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
500 COLLEGE AVE, RACINE, WI 53403-1058
(414) 628-4114
Mailing address
500 COLLEGE AVE, RACINE, WI 53403-1058
(414) 628-4114
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
119245-030
WI
Other
Enumeration date
12/22/2005
Last updated
07/09/2008
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