Nelson, Judith A

Nelson, Judith A is an sole proprietor health care provider with primary practice located at N7116 County Road E , Plymouth WI 53073. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is her primary health care specialty. Nelson, Judith A can be contacted via phone (920) 893-5341.

Contact Information

Primary practice address
N7116 County Road E Plymouth WI 53073
Phone: (920) 893-5341
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 94224030 Wisconsin
Hospitals / General Acute Care Hospital 282N00000X 94224030 Wisconsin

Profile Details

NPI number 1912172248
LBN Legal business name Nelson, Judith A
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2008
Last updated Apr 28th, 2008 - about 18 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 1912172248 NPPES
Wisconsin MEDICAID 35021800

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