Individual
NICOLE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6352 W MEDFORD AVE, MILWAUKEE, WI 53218-5525
(414) 539-8725
Mailing address
6352 W MEDFORD AVE, MILWAUKEE, WI 53218-5525
(414) 539-8725
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
334226-31
WI
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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