Individual
NICOLE BAUMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
2034 S 107TH ST, WEST ALLIS, WI 53227-1233
(262) 893-4400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14319-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100251732
—
WI
Enumeration date
08/21/2023
Last updated
03/03/2025
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