Individual
NICOLE IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
N5331 LOCUST DR, WEST SALEM, WI 54669-9215
(608) 792-4601
Mailing address
N5331 LOCUST DR, WEST SALEM, WI 54669-9215
(608) 792-4601
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
218501
WI
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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