Shannon M. Nelson in Milwaukee - Physician Assistant
Shannon M. Nelson - NPI 1326075078
Shannon M. Nelson is a Physician Assistant in Milwaukee, Wisconsin. Shannon M. Nelson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shannon M. Nelson is 1326075078. The last update date is 2021-02-24.
Shannon M. Nelson's current location address is 788 N Jefferson St, Milwaukee, Wisconsin. You can contact this provider via phone number 4142728950 and fax number 4142720859. The mailing address for Shannon M. Nelson is 788 N Jefferson St, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon M. Nelson |
|---|---|
| Address | 788 N Jefferson St, Milwaukee, Wisconsin |
| Phone Number | 4142728950 |
| Fax Number | 4142720859 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1326075078 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2021-02-24 |
Provider Mailing Address Detail
| Address | 788 N Jefferson St |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532023718 |
| Phone Number | 4142728950 |
| Fax Number | 4142720859 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1516 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1326075078 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shannon M. Nelson?
The Shannon M. Nelson has been issued the NPI (National Provider Identifier) 1326075078 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Shannon M. Nelson's physical address?
The Shannon M. Nelson is physically located at 788 N Jefferson St, in the city of Milwaukee, WI, with the postal code 532023718.
What is the Shannon M. Nelson's specialty and taxonomy code?
The Shannon M. Nelson's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date was the 1326075078 assigned to Shannon M. Nelson?
The Shannon M. Nelson was issued its 1326075078 on 2006-06-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Shannon M. Nelson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shannon M. Nelson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-02-24.