| Anna Nielsen, | |
|
2404 Charles St, Rockford, IL 61108-1602 | |
| (608) 265-7090 | |
| Not Available |
| Full Name | Anna Nielsen |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 2404 Charles St, Rockford, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942741970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164005773 (Illinois) | Primary |
| Provider Name | University Of Wisconsin Medical Foundation Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20040210000719 |
| Mailing Address | Practice Location Address |
|---|---|
| Anna Nielsen, 2404 Charles St, Rockford, IL 61108-1602 Ph: () - | Anna Nielsen, 2404 Charles St, Rockford, IL 61108-1602 Ph: (608) 265-7090 |
Erika Mayer, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-2000 | |
Erika J Oltmanns, RD, LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2300 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-2511 | |
Nathan Hamman, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-227-2761 | |
Patricia A Bomkamp, RD,LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5510 E State St, Rockford, IL 61108 Phone: 815-226-2000 | |
Sarah Baranski, MMN, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-7000 | |
Mrs. Shirley Jean Poole, RD CSP LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 815-489-4667 Fax: 815-964-5404 | |
Angela L Bianchi, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2300 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-2000 |