Individual
MS. IRENE F NILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
141 S LAKESHORE DR, SEAWALL A-6, RACINE, WI 53403-9661
(262) 552-0229
Mailing address
141 S LAKESHORE DR, SEAWALL B-7, RACINE, WI 53403-9661
(262) 553-1275
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
WI
163WH0200X
Home Health Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38281800
—
WI
Enumeration date
02/26/2007
Last updated
10/20/2007
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