Individual
TERESA LYNN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DTR, CD
Contact information
Practice address
1818 N MEADE ST BLDG DOOR38, APPLETON, WI 54911-3454
(920) 454-1877
Mailing address
1818 N MEADE ST BLDG DOOR38, APPLETON, WI 54911-3454
(920) 454-1877
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
887456
WI
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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