Wieman, Nicole M

Wieman, Nicole M is an individual health care provider with primary practice located at 3200 E Racine St , Janesville WI 53546-2343. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wieman, Nicole M can be contacted via phone (608) 371-8000.

Contact Information

Primary practice address
3200 E Racine St Janesville WI 53546-2343
Phone: (608) 371-8000
Fax: (608) 371-8006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6399-33 Wisconsin

Profile Details

NPI number 1417371758
LBN Legal business name Wieman, Nicole M
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2014
Last updated Dec 21st, 2020 - 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 1417371758 NPPES
Wisconsin MEDICAID 1417371758

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