Individual
NICOLE M WIEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8006
Mailing address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8006
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6399-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417371758
—
WI
Enumeration date
02/06/2014
Last updated
06/09/2025
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