Shannon M. Nelson, P.A.

NPI #1326075078 in Mequon, Wisconsin

Provider Information

NPI Number: 1326075078
Entity Type: Individual
Name: Shannon M. Nelson, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Jun 27, 2006
Last Updated: Feb 24, 2021

Practice Location

Address: 13133 N PORT WASHINGTON RD STE 204
City: Mequon
State: Wisconsin
ZIP Code: 53097-2420
Phone: (262) 243-2524

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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