Nelson, Kelly Nicole

Nelson, Kelly Nicole is an individual health care provider with primary practice located at 8800 Washington Ave Ste 200 , Mount Pleasant WI 53406. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Nelson, Kelly Nicole can be contacted via phone (262) 898-7970.

Contact Information

Primary practice address
8800 Washington Ave Ste 200 Mount Pleasant WI 53406
Phone: (262) 898-7970
Fax: (262) 635-6621
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 169966 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 7305-33 Wisconsin

Profile Details

NPI number 1669963344
LBN Legal business name Nelson, Kelly Nicole
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2018
Last updated Jun 11th, 2018 - about 6 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 1669963344 NPPES
Wisconsin MEDICAID 1669963344

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