Individual
NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1225 CARPENTER AVE, EAU CLAIRE, WI 54703-1949
(715) 214-9511
Mailing address
1225 CARPENTER AVE, EAU CLAIRE, WI 54703-1949
(715) 214-9511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
189778
WI
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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