Individual
MRS. NICOLE THERESA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY STE 1080, MILWAUKEE, WI 53215-3689
(414) 908-6601
Mailing address
2801 W KINNICKINNIC RIVER PKWY STE 1080, MILWAUKEE, WI 53215-3689
(414) 908-6601
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11680-33
WI
363LF0000X
Family Nurse Practitioner
Primary
11680
WI
Other
Enumeration date
05/24/2022
Last updated
10/04/2023
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