Individual
MS. NICOLE KELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226
(414) 805-5783
(414) 454-0152
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-5783
(414) 454-0152
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
6008-33
WI
363LA2100X
Acute Care Nurse Practitioner
RN255981
GA
Other
Enumeration date
09/15/2014
Last updated
09/13/2018
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