Mata, Nicole Mae

Mata, Nicole Mae is an individual health care provider with primary practice located at N6654 Rolling Meadows Dr , Fond Du Lac WI 54937-9471. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Mata, Nicole Mae can be contacted via phone (920) 906-5100.

Contact Information

Primary practice address
N6654 Rolling Meadows Dr Fond Du Lac WI 54937-9471
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X 174033-30 Wisconsin

Profile Details

NPI number 1669749438
LBN Legal business name Mata, Nicole Mae
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2011
Last updated Nov 22nd, 2011 - about 13 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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