Bouwma, Nicole Marie

Bouwma, Nicole Marie is an sole proprietor health care provider with primary practice located at 1717 S 70Th , West Allis WI 53214. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Bouwma, Nicole Marie can be contacted via phone (414) 791-2031.

Contact Information

Primary practice address
1717 S 70Th West Allis WI 53214
Phone: (414) 791-2031
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X Wisconsin

Profile Details

NPI number 1073631552
LBN Legal business name Bouwma, Nicole Marie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
Last updated Jul 9th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073631552 NPPES
Wisconsin MEDICAID 38325200

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