Individual
MS. NICOLE A WINCHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9200 W WISCONSIN AVE, NEOPLASTIC DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-6800
(414) 805-2934
Mailing address
9200 W WISCONSIN AVE, NEOPLASTIC DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-6800
(414) 805-2934
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1473
WI
363AM0700X
Medical Physician Assistant
Primary
1473
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007906261W
HUMANA
—
05
—
1447202916
—
WI
Enumeration date
05/16/2006
Last updated
11/16/2020
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