NPI 1134288673

Robert Allen Nellis

Practitioner Audiologist Madison, WI

Practice location

Address: 600 Highland Ave Compliance Mail Code 2433, Madison, WI 53792-0001
Phone: (608) 662-0817

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 132-156 (WI)

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Registry record

NPI: 1134288673
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Dec 2006
Record last updated: 8 Jul 2007

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.