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

Other providers in Mequon