Search › Wisconsin › 124Q00000X
Christiana Nichols, RDH
NPI 1659812741 · on the registry since 2017
Practice
- Address
- 400 S Townline Rd
Wautoma, WI 54982 - Phone
- (920) 787-5514
- Fax
- (920) 787-4737
- Organisation at this address
- La Clinica De Los Campesinos, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 48
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-03-09
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