Individual
MRS. BECKY LEE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6308 8TH AVE, KENOSHA, WI 53143-5031
(414) 290-6720
(414) 290-6755
Mailing address
111 E WISCONSIN AVE STE 2000, MILWAUKEE, WI 53202-4809
(414) 290-6720
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
163385
WI
363L00000X
Nurse Practitioner
Primary
8737-33
WI
Other
Enumeration date
02/03/2011
Last updated
01/09/2019
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