Search › Wisconsin › 376G00000X
Juanita Nickelson
NPI 1659965606 · on the registry since 2021 · sole proprietor
Practice
- Address
- 2501 Mckenna Blvd
Madison, WI 53711 - Phone
- (414) 704-4217
- Organisation at this address
- Bw Home Health Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 376G00000X
376G00000X
- Sex
- Female
- Record last updated
- 2021-02-21
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