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
363L00000X
Nurse Practitioner
209019549
IL
363LF0000X
Family Nurse Practitioner
209019549
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093377905
—
WI
Enumeration date
07/01/2019
Last updated
07/14/2026
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