Individual
KRISTEN J NICKELATTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
225 MEMORIAL DR STE 2010, BERLIN, WI 54923-1243
(920) 361-5975
(920) 361-6339
Mailing address
225 MEMORIAL DRIVE, SUITE 2010, BERLIN, WI 54923-1243
(920) 361-5975
(920) 361-6339
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6423-33
WI
Other
Enumeration date
07/02/2015
Last updated
07/21/2022
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