Individual
NICOLE MARIE HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DR.
Contact information
Practice address
2680 TIMBERLANE, BURLINGTON, WI 53105-9800
(262) 515-7880
Mailing address
2680 TIMBERLANE, BURLINGTON, WI 53105-9800
(262) 515-7880
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
145614-30
WI
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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