Neilsen, Kristin

Neilsen, Kristin is an individual health care provider with primary practice located at 1380 Tullar Rd , Neenah WI 54956-4440. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Neilsen, Kristin can be contacted via phone (920) 727-6480.

Contact Information

Primary practice address
1380 Tullar Rd Neenah WI 54956-4440
Phone: (920) 727-6480
Fax: (920) 727-3490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 347 Wisconsin

Profile Details

NPI number 1902841497
LBN Legal business name Neilsen, Kristin
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Apr 16th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902841497 NPPES
Wisconsin MEDICAID 39901400

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