Individual
NICHOLE M MATHISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 782-7300
Mailing address
1900 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
171229
WI
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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