| NPI | 1881478386 |
|---|---|
| Former Name | NICOLE BISICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 14407-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 14407-33) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 14407-33) | |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2024-01-18 |