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
Phone: (414) 531-9518
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598761389 | NPPES |
| Wisconsin | MEDICAID | 43864200 |
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