Juanita Nickelson

NPI #1659965606 in Madison, Wisconsin

Provider Information

NPI Number
1659965606
Entity Type
Individual
Name
Juanita Nickelson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nursing Home Administrator
Enumeration Date
Feb 21, 2021
Last Updated
Feb 21, 2021

Practice Location

Address
2501 MCKENNA BLVD
ZIP Code
53711-3917
Phone
(414) 704-4217

Specialties & Taxonomy Codes

Specialty
Nursing Home Administrator

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