Individual
NICHOLE ANN MARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3131 STEIN BLVD, EAU CLAIRE, WI 54701-6978
(715) 830-0732
Mailing address
719 W HAMILTON AVE STE B, EAU CLAIRE, WI 54701-6970
(715) 552-9784
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
166788-30
WI
363LF0000X
Family Nurse Practitioner
Primary
5106-33
WI
Other
Enumeration date
09/11/2012
Last updated
03/21/2025
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