Individual
MISS NICHOLE MICHELE GEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5343 BEAVER DAM RD, WEST BEND, WI 53090-9383
(262) 442-5540
Mailing address
5343 BEAVER DAM RD, WEST BEND, WI 53090-9383
(262) 442-5540
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
183674-30
WI
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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