LAURA M NELSON (NPI# 1548298169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548298169 |
| Entity Type | Individual |
| Full Name | LAURA M NELSON |
| Credential | MD |
| Practice Address |
2710 Executive Dr Green Bay WI 54304-5496 |
| Mailing Address |
2710 Executive Dr Po Box 19070 Green Bay WI 54304-5496 |
| Practice Telephone | 9204964700 |
| Mailing Telephone | 9204964700 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2015-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 33414 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31833600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396353512 | Laura Nelson | Physical Therapist | 3248 S Preston Rd Ste 110, Celina, TX 75009-3931 | 2020-07-14 |
| 1043874209 | Laura Elizabeth Nelson | Physician Assistant | 5673 Peachtree Dunwoody Rd Ste 880, Atlanta, GA 30342-1774 | 2019-04-23 |
| 1588187520 | Laura Nelson | Marriage & Family Therapist | 4540 Campus Dr Ste 146, Newport Beach, CA 92660-1815 | 2017-07-21 |
| 1831527340 | Laura Nelson | Nurse Practitioner | 326 Commonwealth Avenue, Apt Br, Boston, MA 02115 | 2013-10-18 |
| 1245676238 | Laura Maudene Nelson | Dietitian, Registered | 90 Landscape Ave, Yonkers, NY 10705-3832 | 2013-05-16 |
| 1386988640 | Laura A Nelson | Social Worker | 6038 W Chennault Ave, Fresno, CA 93722-2886 | 2012-11-26 |
| 1275893869 | Laura Nelson | Counselor | 6010 W Spring Creek Pkwy # 231, Plano, TX 75024-3569 | 2012-05-17 |
| 1174893028 | Laura E Nelson | Registered Nurse | 19 Friendship Pl, Newport, RI 02840-2211 | 2012-01-10 |
| 1891091807 | Laura L. Nelson | Registered Nurse | 223 N 9th St, River Falls, WI 54022-2526 | 2011-02-08 |
| 1053639948 | Laura Lee Nelson | Pharmacist | 830 W. Broadway, Jackson, WY 83001 | 2010-05-17 |
| Street Address |
2710 EXECUTIVE DR |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-5496 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285613638 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Family Medicine | 2710 Executive Dr, Green Bay, WI 54304-5496 | 2006-01-13 |
| 1578047452 | Aaron Witt | Physician Assistant | 2710 Executive Dr, Green Bay, WI 54304-5496 | 2018-09-18 |
| 1932650017 | St. Vincent Hospital of The Hospital Sisters-third Order of St. Franci | Physician Assistant | 2710 Executive Dr, Green Bay, WI 54304-5496 | 2016-10-24 |
| 1114389087 | Kayla Branam | Registered Nurse | 2710 Executive Dr, Green Bay, WI 54304-5496 | 2016-03-22 |
| 1306869276 | Prevea Clinic, Inc. | Allergy & Immunology | 2710 Executive Dr, Green Bay, WI 54304-5496 | 2006-07-25 |
| 1194748061 | Prevea Regional Services, Inc. | Family Medicine | 2710 Executive Dr, Green Bay, WI 54304-5496 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1891061446 | Riley O'hara Meyer | Internal Medicine | 401 N. Washington St., #315, Green Bay, WI 54301 | 2012-03-28 |
| 1811121023 | Kevin Peter Rosteing | Internal Medicine | 2126 William Francis Ct, Green Bay, WI 54311-6352 | 2009-05-04 |
| 1225118235 | Imran R Sheikh | Internal Medicine | 1320 Crystal Cove Trl, Apt 2, Green Bay, WI 54311-4292 | 2006-10-16 |
| 1952418386 | Gowdar Sadishiv Murthy | Internal Medicine | 3000 Ravine Way, Green Bay, WI 54301-1507 | 2006-08-23 |
| 1265452296 | Sheila Waldrop Thiel | Internal Medicine | 2845 Greenbrier Rd Ste 120, Green Bay, WI 54311-6519 | 2006-07-20 |
| 1780644666 | Vijaya K Munagala | Internal Medicine | 744 S Webster Ave Fl 2, Green Bay, WI 54301-3505 | 2006-03-24 |
| 1992774160 | Thomas Joseph Leonard | Internal Medicine | 2763 Manitowoc Rd, Suite B, Green Bay, WI 54311-6633 | 2006-03-17 |
| 1497721054 | Patricia Elizabeth Sias | Internal Medicine | 1715 Dousman St., Green Bay, WI 54303-3211 | 2006-02-24 |
| 1780671792 | Kathleen Ann Mcdougal | Internal Medicine | 3021 Voyager Dr, Green Bay, WI 54311-8303 | 2005-10-04 |
| Find all providers in GREEN BAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.