Robert Nelsen, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

120337-30 Issued in WI

Practice address

409 S Webster Ave Apt 215
Green Bay, WI 54301-3947

Phone

(715) 252-4263

NPI assigned

Dec 27, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Robert Nelsen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388102400000",
    "number": "1669893269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S WEBSTER AVE APT 215",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013947",
            "telephone_number": "715-252-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 S WEBSTER AVE APT 215",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013947",
            "telephone_number": "715-252-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSEN",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-27",
        "last_updated": "2013-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "120337-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "NELSEN",
            "prefix": "MR.",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Neighborhood Smiles of Libel St, LLC
• Nein Schnarchen Inc
• Ashley A Neis
• Shelly Nell, PTA
• Stacey M Nellen-Kolze
• Alexandra N Nelson, PA-C
• Ashlei Nelson
• Casey Christopher Nelson, PHARMD
• Chelsie Nelson, DPT
• Christie Nelson, PH.D.

• Registered Nurse in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.