Nelson, Tracy Lynn

Nelson, Tracy Lynn is an individual health care provider with primary practice located at 2923 W Layton Ave , Greenfield WI 53221-2626. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / General Practice. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Nelson, Tracy Lynn can be contacted via phone (414) 328-8050.

Contact Information

Primary practice address
2923 W Layton Ave Greenfield WI 53221-2626
Phone: (414) 328-8050
Fax: (414) 328-8054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3486-33 Wisconsin
Nursing Service Providers / General Practice 163WG0000X 116517-30 Wisconsin

Profile Details

NPI number 1346499738
LBN Legal business name Nelson, Tracy Lynn
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2008
Last updated Nov 21st, 2013 - about 11 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 1346499738 NPPES
Wisconsin Other 3486-033 WISCONSIN ADVANCED PRACTICE NURSE PRESCRIBER LICENSE
Wisconsin Other 116517 WISCONSIN ADVANCED PRACTICE NURSE PRESCRIBER LICENSE
Wisconsin MEDICAID 36095200 WISCONSIN ADVANCED PRACTICE NURSE PRESCRIBER LICENSE

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