Nickelson, Juanita

Nickelson, Juanita is an sole proprietor health care provider with primary practice located at 2501 Mckenna Blvd , Madison WI 53711-3917. She recently has only one registered license in Nursing Service Related Providers / Nursing Home Administrator, which is considered as her primary health care specialty. Nickelson, Juanita can be contacted via phone (414) 704-4217.

Contact Information

Primary practice address
2501 Mckenna Blvd Madison WI 53711-3917
Phone: (414) 704-4217
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nursing Home Administrator 376G00000X

Profile Details

NPI number 1659965606
LBN Legal business name Nickelson, Juanita
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2021
Last updated Feb 21st, 2021 - about 3 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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