Individual
NICOLE ELIZABETH FORBORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10625 W NORTH AVE STE 102, MILWAUKEE, WI 53226-2315
(414) 877-5350
(414) 877-5360
Mailing address
10625 W NORTH AVE STE 102, MILWAUKEE, WI 53226-2315
(414) 877-5350
(414) 877-5360
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4293-23
WI
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/26/2017
Last updated
08/11/2020
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