Individual
MRS. NICOLE DOHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
19530 W NORWOOD DR, NEW BERLIN, WI 53146-1319
(262) 765-4683
Mailing address
19530 W NORWOOD DR, NEW BERLIN, WI 53146-1319
(262) 765-4683
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
198866
WI
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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