Individual
ELLEN PUSKALA NICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 280-7066
(308) 280-7020
Mailing address
3966 SUNNYVALE DR, DE FOREST, WI 53532-2747
(608) 256-1901
(608) 280-7020
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
502
WI
Other
Enumeration date
05/27/2006
Last updated
06/08/2011
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