Alexandra N Nelson, PA-C
Physician Assistant in Green Bay, WI. Individual provider (NPI-1).
NPI number1164096293
StatusActive
Last updated in NPPESNov 21, 2022
Details
- NPI
- 1164096293
- Entity type
- Individual (NPI-1)
- Name
- Alexandra N Nelson
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 13, 2021
- Certification date
- Nov 21, 2022
- Last updated
- Nov 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601010487 | MI | Yes |
| 363A00000X | Physician Assistant | 5440-23 | WI |
Practice location
725 S Webster AveGreen Bay, WI 54301-3500
Phone 920-433-7995
Mailing address
Po Box 22487Green Bay, WI 54305-2487
Phone 920-445-7222 · Fax 920-445-7289
Other practice locations
212 E B St
Iron Mountain, MI 49801-3411
Iron Mountain, MI 49801-3411
Phone 906-776-9040 · Fax 906-774-7279
440 Woodward Ave
Iron Mountain, MI 49801-4631
Iron Mountain, MI 49801-4631
Phone 906-776-9040 · Fax 906-774-7279
610 S Lincoln Rd
Escanaba, MI 49829-1215
Escanaba, MI 49829-1215
Phone 906-786-6488 · Fax 906-786-6409
2820 Roosevelt Rd
Marinette, WI 54143-3834
Marinette, WI 54143-3834
Phone 715-735-5225 · Fax 715-735-5388
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