Individual
NICOLE LINDSEY NOLTE RIERDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1601 LAWRENCE DR, DE PERE, WI 54115-3931
(920) 496-4700
Mailing address
1620 WOODLAND DR, GREEN BAY, WI 54313-6128
(920) 264-5761
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6037-154
WI
Other
Enumeration date
08/04/2022
Last updated
10/11/2022
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