Individual
NICKI ANN RIECKHOFF
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2045 S 73RD ST, MILWAUKEE, WI 53219-1213
(414) 329-1054
(414) 329-1053
Mailing address
2045 S 73RD ST, MILWAUKEE, WI 53219-1213
(414) 329-1054
(414) 329-1053
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
49921-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1633WHO200X
INDEPENDENT NURSE
WI
01
—
163WH0200X
RN HOME HEALTH
WI
Enumeration date
02/16/2006
Last updated
07/08/2007
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