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NPI Code Detail

MEDICARE: MS. ARIEL ANN NELSON M.D.

MEDICARE: MS. ARIEL ANN NELSON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician63243WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083956148
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ARIEL ANN NELSON M.D.
Provider Business Mailing Address
First Line : 9200 W WISCONSIN AVE
Second Line : CLCC - FIFTH FLOOR
City : MILWAUKEE
State : WI
Zip : 53226-3522
Country : US
Telephone Number : 631-896-1830
Fax Number : 414-805-6808
Provider Business Practice Location Address
First Line : 9200 W WISCONSIN AVE
Second Line : CLCC - FIFTH FLOOR
City : MILWAUKEE
State : WI
Zip : 53226-3522
Country : US
Telephone Number : 414-805-0509
Fax Number : 414-805-6808
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2013
Last Update Date : 10/01/2020

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Directions to “ MS. ARIEL ANN NELSON M.D.” Practice Location

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