Individual provider · NPI-1

Elizabeth Nielsen, PA-C

Physician Assistant, Medical · Madison, WI

NPI number1265685754
StatusActive
Last updated in NPPESMar 13, 2024

Details

NPI
1265685754
Entity type
Individual (NPI-1)
Name
Elizabeth Nielsen
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Oct 28, 2008
Certification date
Mar 13, 2024
Last updated
Mar 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical2358WIYes
363A00000X Physician Assistant2358-23WI
364SF0001X Clinical Nurse Specialist, Family Health2358-23WI

Practice location

5249 E Terrace Dr
Madison, WI 53718-8339

Phone 608-265-1288

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

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