Milliren, Nicole

Milliren, Nicole is an individual health care provider with primary practice located at 605 4Th St S , La Crosse WI 54601-4458. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Milliren, Nicole can be contacted via phone (608) 386-5495.

Contact Information

Primary practice address
605 4Th St S La Crosse WI 54601-4458
Phone: (608) 386-5495
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4036-125 Wisconsin
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Professional 101YP2500X 4036-125 Wisconsin

Profile Details

NPI number 1679740963
LBN Legal business name Milliren, Nicole
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2008
Last updated Aug 15th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679740963 NPPES
Wisconsin MEDICAID 100007945

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