Individual
NICOLE ANNMARIE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
7823 N BERWYN AVE, GLENDALE, WI 53209-1807
(920) 376-3950
Mailing address
7823 N BERWYN AVE, GLENDALE, WI 53209-1807
(920) 376-3950
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
252132-30
WI
363LF0000X
Family Nurse Practitioner
Primary
18422-33
WI
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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