Michelle R Nelson in Kenosha - Physician Assistant
Michelle R Nelson - NPI 1063493088
Michelle R Nelson is a Physician Assistant in Kenosha, Wisconsin. Michelle R Nelson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michelle R Nelson is 1063493088. The last update date is 2021-11-22.
Michelle R Nelson's current location address is 6308 8th Ave, Kenosha, Wisconsin. You can contact this provider via phone number 2626563525 and fax number 2626563560. The mailing address for Michelle R Nelson is 6308 8th Ave, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle R Nelson |
|---|---|
| Address | 6308 8th Ave, Kenosha, Wisconsin |
| Phone Number | 2626563525 |
| Fax Number | 2626563560 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1063493088 |
|---|---|
| Provider Enumeration Date | 2005-11-08 |
| Last Updated Date | 2021-11-22 |
Provider Mailing Address Detail
| Address | 6308 8th Ave |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531435031 |
| Phone Number | 2626563525 |
| Fax Number | 2626563560 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1662023 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41979800 | WI | -- |
Post Comment/ Review Below
What is the Michelle R Nelson's 1063493088?
The Michelle R Nelson's NPI (National Provider Identifier) Number is 1063493088. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Michelle R Nelson is physically located?
The Michelle R Nelson is physically situated at the following address: 6308 8Th Ave, Kenosha, WI, 531435031.
What is the Michelle R Nelson's area of specialization and corresponding taxonomy classification?
The Michelle R Nelson's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1063493088 assigned to Michelle R Nelson?
The Michelle R Nelson was issued its 1063493088 on 2005-11-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Michelle R Nelson most recently updated?
The details pertaining to the Michelle R Nelson, including its address, specialty, and other relevant information, were last refreshed on 2021-11-22.
NPI Number: 1306849500
Address: 1009 North State Of Franklin Access Road, Johnson City, TN
NPI Number: 1447253653
Address: 1009 N State Of Franklin Access Road, Johnson City, TN