Collicott, Mariah M

Collicott, Mariah M is an individual health care provider with primary practice located at 1061 E Commerce Blvd , Slinger WI 53086-9326. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Collicott, Mariah M can be contacted via phone (262) 644-2900.

Contact Information

Primary practice address
1061 E Commerce Blvd Slinger WI 53086-9326
Phone: (262) 644-2900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 13169-33 Wisconsin

Profile Details

NPI number 1568185403
LBN Legal business name Collicott, Mariah M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2022
Last updated Dec 5th, 2022 - about 4 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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