Individual
NICOLE KRAHENBUHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
880 HERRIOT DR, MAUSTON, WI 53948-2031
(608) 847-6700
(608) 847-6122
Mailing address
400 S TOWNLINE RD, WAUTOMA, WI 54982-6922
(920) 787-5514
(920) 787-9343
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
590916
WI
163WM0705X
Medical-Surgical Registered Nurse
222403-30
WI
Other
Enumeration date
10/15/2018
Last updated
06/15/2020
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