Individual
MRS. NICOLE M CHICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
225 CHURCH ST, STOUGHTON, WI 53589-1801
(608) 877-2777
(608) 877-2774
Mailing address
225 CHURCH ST, STOUGHTON, WI 53589-1801
(608) 877-2777
(608) 877-2774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
14658-33
WI
363L00000X
Nurse Practitioner
Primary
14658-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306628763
—
WI
Enumeration date
10/19/2023
Last updated
12/15/2023
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