Provider Demographics
NPI:1588456214
Name:NELSON, ARIANE
Entity type:Individual
Prefix:
First Name:ARIANE
Middle Name:
Last Name:NELSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11007 W VILLA AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53224-2590
Mailing Address - Country:US
Mailing Address - Phone:414-254-7734
Mailing Address - Fax:414-254-7734
Practice Address - Street 1:11007 W VILLA AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53224-2590
Practice Address - Country:US
Practice Address - Phone:414-254-7734
Practice Address - Fax:414-254-7734
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care