Individual
NICOLE R HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2901 S KINNICKINNIC AVE, MILWAUKEE, WI 53215
(414) 646-3985
Mailing address
2901 W KINNICKINNIC RIVER PKWY, 511, MILWAUKEE, WI 53215
(414) 649-3780
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5951
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5951-33
STATE
WI
Enumeration date
08/29/2014
Last updated
11/23/2021
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