Individual
MRS. NICHOLE SZULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6450
(414) 805-6464
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 955-6450
(414) 955-0082
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085007047
IL
363A00000X
Physician Assistant
Primary
4610
WI
363A00000X
Physician Assistant
PA07950
TX
363A00000X
Physician Assistant
PA51731
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100085654
—
WI
05
—
1053669846
—
WI
Enumeration date
08/27/2012
Last updated
11/16/2022
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