Individual
NICOLA CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
66438
WI
2084N0400X
Neurology Physician
Primary
MD61087549
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093109381
—
WI
Enumeration date
03/24/2015
Last updated
04/29/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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