SearchWisconsin164W00000X

Angela Nelson

NPI 1063785061 · on the registry since 2012 · sole proprietor

Practice

Address
1158 60th Ave
Roberts, WI 54023
Phone
(651) 261-6428

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-02-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin