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Individual

NICOLE A DISCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, AGPCNP-BC

Contact information

Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6871
(608) 756-6836
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6871
(608) 756-6836

Taxonomy

Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
170394-30
WI
363L00000X
Nurse Practitioner
Primary
6854-33
WI

Other

Enumeration date
05/17/2016
Last updated
05/17/2016
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