Individual
MS. NICHOLE LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
N1615 POEPPEL RD, FORT ATKINSON, WI 53538-9329
(920) 397-7636
Mailing address
N1615 POEPPEL RD, FORT ATKINSON, WI 53538-9329
(920) 397-7636
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
149778-030
WI
Other
Enumeration date
03/20/2006
Last updated
02/10/2012
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