Individual
ELIZABETH MATTES NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01089069A
IN
207R00000X
Internal Medicine Physician
125.068567
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036147784
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
76831
WI
207RP1001X
Pulmonary Disease Physician
036147784
IL
207RP1001X
Pulmonary Disease Physician
Primary
76831
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100243376
—
WI
Enumeration date
06/19/2016
Last updated
07/14/2026
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