Individual
NICOLE BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APNP, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6425-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100046073
—
WI
Enumeration date
07/06/2015
Last updated
04/16/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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