Individual
NICOLE ELIZABETH KOPPLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1900 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 775-3386
Mailing address
1900 NATHAN DR, BANGOR, WI 54614-8825
(608) 548-0604
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
236805-30
WI
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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