Individual
MEGAN E NELSON
Active
Individual
MEGAN E NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3869-23
WI
363AM0700X
Medical Physician Assistant
Primary
3869-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100060419
—
WI
Enumeration date
08/16/2016
Last updated
11/17/2025
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