Individual
NICOLE KULWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1300 N AIRPORT RD, PHILLIPS, WI 54555-1527
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
144922
WI
363LF0000X
Family Nurse Practitioner
Primary
6063
WI
Other
Enumeration date
10/14/2014
Last updated
08/06/2021
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