Individual
MRS. NICOLE S POOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1211 W PORTVIEW DR, PORT WASHINGTON, WI 53074-2323
(262) 483-8936
Mailing address
1211 W PORTVIEW DR, PORT WASHINGTON, WI 53074-2323
(262) 483-8936
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
309579-031
WI
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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