Nicoloff, Peter Elliott

Nicoloff, Peter Elliott is an individual health care provider with primary practice located at 3425 Superior Ave , Sheboygan WI 53081-1863. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Nicoloff, Peter Elliott can be contacted via phone (920) 458-5557.

Contact Information

Primary practice address
3425 Superior Ave Sheboygan WI 53081-1863
Phone: (920) 458-5557
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 14326-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 14326-33 Wisconsin

Profile Details

NPI number 1518649367
LBN Legal business name Nicoloff, Peter Elliott
Credentials DNP, APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2023
Last updated Feb 19th, 2024 - about 7 months 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 1518649367 NPPES
Wisconsin MEDICAID 100251117

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