Dicarlo, Holly Ann

Dicarlo, Holly Ann is an individual health care provider with primary practice located at S62W24372 Townline Rd , Waukesha WI 53189-9616. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Dicarlo, Holly Ann can be contacted via phone (262) 549-3266.

Contact Information

Primary practice address
S62W24372 Townline Rd Waukesha WI 53189-9616
Phone: (262) 549-3266
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 11528-031 Wisconsin

Profile Details

NPI number 1952559056
LBN Legal business name Dicarlo, Holly Ann
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2008
Last updated Sep 3rd, 2008 - about 16 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 1952559056 NPPES
Wisconsin MEDICAID 35064800

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