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Individual

NICOLE AMBER MEISSNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGNP-BC

Contact information

Practice address
2409 S ALVERNO RD, MANITOWOC, WI 54220-9340
(920) 901-4420
(920) 682-4243
Mailing address
2409 S ALVERNO RD, MANITOWOC, WI 54220-9340
(920) 901-4420
(920) 682-4243

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
196585-30
WI
363LG0600X
Gerontology Nurse Practitioner
Primary
13955-33
WI

Other

Enumeration date
03/13/2023
Last updated
05/15/2023
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