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Individual

NICOLE MARIE LIKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGNP-C

Contact information

Practice address
1350 DEMING WAY STE 400, MIDDLETON, WI 53562-4662
(608) 820-1646
Mailing address
29624 NETWORK PL, CHICAGO, IL 60673-1296
(608) 756-6868
(608) 756-6289

Taxonomy

Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
17734-33
WI
363LG0600X
Gerontology Nurse Practitioner
Primary
17734-33
WI

Other

Enumeration date
12/02/2025
Last updated
02/09/2026
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