Individual
NICOLE M HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 N MILITARY AVE STE 4A, GREEN BAY, WI 54303-4569
(920) 497-4600
Mailing address
2501 COTTONTAIL LN, SOMERSET, NJ 08873-5125
(732) 529-7120
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1603-60
WI
Other
Enumeration date
04/10/2020
Last updated
04/10/2020
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