Provider Demographics
NPI:1902975956
Name:NELSON, FRANCES E (FNP-C, PHD)
Entity Type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:E
Last Name:NELSON
Suffix:
Gender:F
Credentials:FNP-C, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8003
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54912-8003
Mailing Address - Country:US
Mailing Address - Phone:920-996-3200
Mailing Address - Fax:920-738-5787
Practice Address - Street 1:308 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:HILBERT
Practice Address - State:WI
Practice Address - Zip Code:54129-0202
Practice Address - Country:US
Practice Address - Phone:920-853-3444
Practice Address - Fax:920-853-3550
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI46556-030163WG0000X
WI111-033363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43834700Medicaid
WI43834700Medicaid