DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MS. NANCY MCCLELLAN GNP

MEDICARE: MS. NANCY MCCLELLAN GNP
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
1363LG0600XGerontology Nurse Practitioner91660-030WI

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 : 1598761389
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NANCY MCCLELLAN GNP
Provider Business Mailing Address
First Line : 4615 S OAKWOOD TER
Second Line :
City : NEW BERLIN
State : WI
Zip : 53151-6832
Country : US
Telephone Number : 414-529-9518
Fax Number :
Provider Business Practice Location Address
First Line : 5700 W LAYTON AVE
Second Line :
City : GREENFIELD
State : WI
Zip : 53220-4016
Country : US
Telephone Number : 414-531-9518
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2005
Last Update Date : 07/08/2007

Similar Medicare Providers

1760536387 — SPECIALIZED WOUND MANAGEMENT GREAT LAKES, LLC
Practice Location Address:
5700 W LAYTON AVE
GREENFIELD, WI
53220-4016
Practice Phone: 414-281-7201
Practice Fax: 414-281-0744
1902079288 — JILL MELISSA PAQUE MPT
Practice Location Address:
5700 W LAYTON AVE
GREENFIELD, WI
53220-4016
Practice Phone: 414-281-7200
Practice Fax:
1265605463 — MRS. KATHRYN ROSE ORTIN OTR
Practice Location Address:
5700 W LAYTON AVE
GREENFIELD, WI
53220-4016
Practice Phone: 414-281-7200
Practice Fax: 414-282-7512
1356514558 — MRS. KATHRYN C MANTZ COTA
Practice Location Address:
5700 W LAYTON AVE
GREENFIELD, WI
53220-4016
Practice Phone: 414-281-7200
Practice Fax: 414-281-7200
1376716415 — JENNIFER CHRISTINE JOHNSON SLP
Practice Location Address:
5700 W LAYTON AVE
GREENFIELD, WI
53220-4016
Practice Phone: 414-281-7200
Practice Fax:
1336312214 — MRS. CYNTHIA MARIE KUBIS COTA
Practice Location Address:
5700 W LAYTON AVE
GREENFIELD, WI
53220-4016
Practice Phone: 414-325-4069
Practice Fax:

Directions to “ MS. NANCY MCCLELLAN GNP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.