Individual
NICOLE M MAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2970 S CHASE AVE, MILWAUKEE, WI 53207-6407
(414) 905-3100
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(480) 935-5976
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
198945-30
WI
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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