Individual
NICHOLE N SCIACCOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
14555 W NATIONAL AVE, NEW BERLIN, WI 53151-4494
(844) 284-0381
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10067
WI
363LF0000X
Family Nurse Practitioner
209019549
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093377905
—
WI
Enumeration date
07/01/2019
Last updated
05/11/2026
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