Individual
NICOLE A MANNINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
UW HOSPITAL AND CLINICS 600 HIGHLAND AVE, MADISON, WI 53792
(608) 263-8114
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
65178-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861812794
—
WI
Enumeration date
04/17/2014
Last updated
12/09/2020
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