Berg-Johnson, Nicole Lee
Berg-Johnson, Nicole Lee is an sole proprietor health care provider with primary practice located at 125 E Pine St Ste C , Lake Mills WI 53551-1103. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Berg-Johnson, Nicole Lee can be contacted via phone (920) 648-5271.Contact Information
Primary practice address
125 E Pine St Ste C
Lake Mills WI 53551-1103
Phone: (920) 648-5271
Fax: (920) 648-4365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 9779-33 | Wisconsin |
Profile Details
| NPI number | 1336787126 |
|---|---|
| LBN Legal business name | Berg-Johnson, Nicole Lee |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2019 |
| Last updated | Mar 17th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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