Individual
NICOLE LYNN GRETZINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W6863 CTY B, SHAWANO, WI 54166-7064
(715) 853-1816
Mailing address
W6863 CTY B, SHAWANO, WI 54166-7064
(715) 853-1816
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
257840
WI
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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