Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel Nelson

Individual provider Athletic Trainer · NPI 1083302087

Daniel Nelson is an Athletic Trainer in Mequon, Wisconsin. Practices as a sole proprietor. Licensed in Minnesota and Wisconsin.

Licensed in
MN, WI
In the registry since
2023
Specialties on file
4

Practice location Address checks out

12800 N Lake Shore Dr
Mequon, WI 53097-2418
Phone: (262) 243-2129
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 3221-39 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Basic Emergency Medical Technician Taxonomy 146N00000X · Licence 70120592 (WI)
Basic Emergency Medical Technician Taxonomy 146N00000X · Licence 1024526 (MN)

Record details

NPI number1083302087
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 27, 2023
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026
Mailing address1740 W Grand Ave Apt 203, Port Washington, WI 53074-2094

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