Mcclellan, Nancy

Mcclellan, Nancy is an individual health care provider with primary practice located at 5700 W Layton Ave , Greenfield WI 53220-4016. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Mcclellan, Nancy can be contacted via phone (414) 531-9518.

Contact Information

Primary practice address
5700 W Layton Ave Greenfield WI 53220-4016
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 91660-030 Wisconsin

Profile Details

NPI number 1598761389
LBN Legal business name Mcclellan, Nancy
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2005
Last updated Jul 8th, 2007 - about 19 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 1598761389 NPPES
Wisconsin MEDICAID 43864200

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