Individual
JUDITH A NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
N7116 COUNTY ROAD E, PLYMOUTH, WI 53073
(920) 893-5341
Mailing address
N7116 COUNTY ROAD E, PLYMOUTH, WI 53073
(920) 893-5341
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
94224030
WI
282N00000X
General Acute Care Hospital
Primary
94224030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35021800
—
WI
Enumeration date
04/28/2008
Last updated
04/28/2008
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