Search › Wisconsin › 225100000X
Julie Nickerson, MPT
NPI 1396168399 · on the registry since 2014 · sole proprietor
Practice
- Address
- 12600 N Port Washington Rd
Mequon, WI 53092 - Phone
- (262) 387-8818
- Organisation at this address
- Newcastle Place Llc
Newcastle Place Llc
Newcastle Place, Inc.
Newcastle Senior Care, Llc
Newcastle Place Inc PharmacyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-01-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin