Virgo, Nichole
Virgo, Nichole is an individual health care provider with primary practice located at 8901 N 76Th St Fl 3 , Milwaukee WI 53223-1901. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Virgo, Nichole can be contacted via phone (414) 357-1307.Contact Information
Primary practice address
8901 N 76Th St Fl 3
Milwaukee WI 53223-1901
Phone: (414) 357-1307
Fax: (414) 365-0773
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 148802 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3323-33 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 139386-30 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3323 | Wisconsin |
Profile Details
| NPI number | 1457459869 |
|---|---|
| LBN Legal business name | Virgo, Nichole |
| Credentials | APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | May 2nd, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457459869 | NPPES |
| Wisconsin | Other | K400388476 | MEDICARE |
| Wisconsin | Other | V620-6377-9730-09 | MEDICARE |
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