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General NPI Number Information
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NPI Number | 1346499738
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Entity Type | Individual
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Provider Name | TRACY LYNN NELSON APNP
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Gender | Female
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Dates
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Enumeration Date | 09/10/2008
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 5600 W RAWSON AVE STE 101
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City | FRANKLIN
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State | WI
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Zip | 53132-9279
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Country | US
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Telephone | 262-290-4540
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Fax | 262-299-6435
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Provider Business Mailing Address
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Address Line | 16650 W BLUEMOUND RD STE 600
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City | BROOKFIELD
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State | WI
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Zip | 53005-5970
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Country | US
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Telephone | 262-290-4540
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Fax | 262-299-6435
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 116517-30
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3486-33
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License Number State | WI
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