Dawn L Nichols OTR

NPI 1649447400 - Community Health Worker - 172V00000X

NPI Details
NPI 1649447400
Gender Female
Enumeration Date 05/12/2008
Last Updated 05/12/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
S66W25120 MORAINE CT
WAUKESHA WI, 53189-9607, US
Phone (262) 662-0571
Fax
Business Location
S66W25120 MORAINE CT
WAUKESHA WI, 53189-9607, US
Phone (262) 662-0571
Fax
Toxanomy
Taxonomy Code 172V00000X
License State Wisconsin
License Number 2201-026
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According to our database, Dawn L Nichols OTR NPI is 1649447400, taxonomy code is 172V00000X and license number is 2201-026, license state is located at Wisconsin. Dawn L Nichols OTR physically located at S66w25120 Moraine Ct, Waukesha WI, 53189-9607. NPI Number Dawn L Nichols OTR has the Individual type.

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1649447400 NPI number is provided on an as is basis without warranty of any kind. 1649447400 is maintained by the National Plan & Provider Enumeration System. The contents of Dawn L Nichols OTR are for informational purposes only.