IndividualActive
Debra Nelson, LPN
NPI 1821493479 · Physical Disabilities Residential Treatment Facility · Rudolph, WI
Provider details
- NPI number
- 1821493479
- Entity type
- Individual
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 317774-31 (WI)
Mailing address
2271 Pine Rd
Rudolph, WI 54475
Registry dates
- Enumerated
- 2014-10-24
- Last updated
- 2014-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.