NPI 1174878128

Dedra Taree Nelson, HOMEHEALTH

Practitioner Home Health Aide Racine, WI

Practice location

Address: 2808 15th St, Racine, WI 53405-5013
Phone: (262) 721-8567

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

Other Home Health Aide providers in Wisconsin →

Registry record

NPI: 1174878128
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jul 2012
Record last updated: 16 Jul 2012

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.