Individual
NICHOLE MARIE RENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
763 S 7TH AVE, WEST BEND, WI 53095-3944
(262) 306-0508
(866) 596-4974
Mailing address
763 S 7TH AVE, WEST BEND, WI 53095-3944
(262) 306-0508
(866) 596-4974
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
194092-30
WI
163WH0200X
Home Health Registered Nurse
194092-30
WI
Other
Enumeration date
02/22/2013
Last updated
04/03/2013
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