Individual
NICOLE MIKSHOWSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
W1425 STATE ROAD 33, BANGOR, WI 54614-9221
(608) 498-0634
Mailing address
W1425 STATE ROAD 33, BANGOR, WI 54614-9221
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
241816-30
WI
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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