Individual
NICOLE MARIE IKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1352 LIBERTY ST, LA CROSSE, WI 54603-2459
(715) 252-4412
Mailing address
1352 LIBERTY ST, LA CROSSE, WI 54603-2459
(715) 252-4412
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
166010-30
WI
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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