Individual
DINA N NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
225 MEMORIAL DRIVE, ANESTHESIA DEPT, BERLIN, WI 54923
(920) 361-5538
Mailing address
PO BOX 249, BERLIN, WI 54923
(920) 361-5538
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN2544
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1372
—
SC
Enumeration date
01/18/2006
Last updated
05/11/2023
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