NPI 1083302087
Daniel Nelson
Practice location
- Address
- 12800 N Lake Shore Dr, Mequon, WI 53097-2418
- Phone
- (262) 243-2129
- Mailing address
- 1740 W Grand Ave APT 203, Port Washington, WI 53074-2094
Registered specialties (4)
Athletic Trainer
Primary
Student in an Organized Health Care Education/Training Program
Basic Emergency Medical Technician
Basic Emergency Medical Technician
Registry record
- NPI
- 1083302087
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 27 Apr 2023
- Record last updated
- 26 May 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.