Individual
NICOLE A MATTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7101 BLUEBELL RD, WAUSAU, WI 54401-8583
(715) 212-9381
Mailing address
7101 BLUEBELL RD, WAUSAU, WI 54401-8583
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
168657
WI
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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