Individual
MS. NICOLLE FARVOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1111 DELAFIELD ST, SUITE 212, WAUKESHA, WI 53188-3417
(262) 544-8622
(262) 544-8630
Mailing address
1111 DELAFIELD ST, SUITE 212, WAUKESHA, WI 53188-3417
(262) 544-8622
(262) 544-8630
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2012023646
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
5235
WI
Other
Enumeration date
02/25/2013
Last updated
06/23/2020
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