Individual
MARGARET MARYELLEN NICOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6624
(414) 805-9000
Mailing address
10000 W INNOVATION DR, MILWAUKEE, WI 53226-4837
(414) 456-5006
(414) 456-6259
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
276-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43826300
—
WI
Enumeration date
01/23/2007
Last updated
07/09/2007
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