SearchWisconsin225100000X

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 Pharmacy
Inferred 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