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LEA NICKOLAS, RN

RN

Primary Care Nurse Practitioner

NPI: 1306471644IndividualAccepts Medicare

Specialties, Licenses & Credentials

Registered Nurse

Registered Nurse

Code: 163W00000X

183839-30(WI)
Primary Care Nurse PractitionerPrimary

Nurse Practitioner — Primary Care

Code: 363LP2300X

256708(AZ)

CMS Specialties

Education

OTHER

Class of 2020

Contact & Hours

Via practice · 2 locations total

Address
3707 N RICHARDS ST
MILWAUKEE, WI 53212

Quick Facts

NPI
1306471644
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
2
Years in Practice
6

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