Burnett, Nicole

Burnett, Nicole is an individual health care provider with primary practice located at 6127 Green Bay Rd Ste 100 , Kenosha WI 53142-2941. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Burnett, Nicole can be contacted via phone (262) 652-2887.

Contact Information

Primary practice address
6127 Green Bay Rd Ste 100 Kenosha WI 53142-2941
Phone: (262) 652-2887
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6425-33 Wisconsin

Profile Details

NPI number 1700269057
LBN Legal business name Burnett, Nicole
Credentials DNP, APNP, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2015
Last updated Apr 16th, 2020 - about 5 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 1700269057 NPPES
Wisconsin MEDICAID 100046073

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