Individual
NICOLE CRIVELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-1000
Mailing address
N8064 KADAD LN, EAST TROY, WI 53120-1863
(414) 587-8705
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
165439-030
WI
363L00000X
Nurse Practitioner
Primary
10297-33
WI
Other
Enumeration date
09/14/2009
Last updated
11/18/2020
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