Individual
NICOLE LEE BOLTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
466 DUTTON ST APT 2, BURLINGTON, WI 53105-2008
(262) 661-6297
Mailing address
466 DUTTON ST, APT 2, BURLINGTON, WI 53105-2008
(262) 661-6297
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
320298
WI
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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