Organization
NICOLE PLATA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE RENEE PLATA LPN (LPN)
(608) 395-9764
Entity
Organization
Contact information
Practice address
2236 HIGH RIDGE TRL, FITCHBURG, WI 53713-3626
(608) 395-9764
Mailing address
2236 HIGH RIDGE TRAIL, FITCHBURG, WI 53713
(608) 395-9764
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
318814
WI
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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