Individual
NICOL OPPENEER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 FREDERICK ST, PLYMOUTH, WI 53073-2111
(920) 918-6346
Mailing address
111 FREDERICK ST, PLYMOUTH, WI 53073-2111
(920) 918-6346
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
314255-031
WI
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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