Individual
MRS. NICOLE ELIZABETH MOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1611 SILVERNAIL RD, PEWAUKEE, WI 53072-5519
(262) 304-0150
Mailing address
2712 NORTHVIEW RD UNIT 116, WAUKESHA, WI 53188-2009
(201) 575-3020
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
255052-30
WI
363LF0000X
Family Nurse Practitioner
Primary
13890-33
WI
Other
Enumeration date
03/21/2023
Last updated
05/04/2023
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