Individual
NINA MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
412 E NORTH ST, WAUKESHA, WI 53188-3720
(262) 549-6123
Mailing address
412 E NORTH ST, WAUKESHA, WI 53188-3720
(262) 549-6123
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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