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1245791755 NPI number — RACHEL ULLRICH NELSON MD

NPI Number: 1245791755
Health Care Provider/Practitioner: RACHEL ULLRICH NELSON MD

Information about “1245791755” NPI (RACHEL ULLRICH NELSON MD) exists in 1245791755 in HTML format HTML  |  1245791755 in plain Text format TXT  |  1245791755 in PDF (Portable Document Format) PDF  |  1245791755 in an XML format XML  formats.

NPI Number : 1245791755 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1245791755",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NELSON",
    "FirstName": "RACHEL",
    "MiddleName": "ULLRICH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ULLRICH",
    "OtherFirstName": "RACHEL",
    "OtherMiddleName": "LAUREN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3 NEENAH CTR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEENAH",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "54956-3070",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "920-830-5900",
    "MailingAddressFaxNumber": "920-830-5910",
    "FirstLinePracticeLocationAddress": "640 DEERWOOD AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEENAH",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "54956-7110",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "920-727-9982",
    "PracticeLocationAddressFaxNumber": "920-727-9983",
    "EnumerationDate": "03/27/2019",
    "LastUpdateDate": "10/07/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208000000X",
        "TaxonomyName": "Pediatrics Physician",
        "LicenseNumber": "73833-20",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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