Nathan Ziccarelli

NPI 1790465300 · on the registry since 2023

Practice

Address: 2814 S 108th St Ste 100
West Allis, WI 53227
Phone: (414) 885-3525
Organisation at this address: Premier Care Of Wisconsin, Llc.
Premier Care Of Wisconsin, Llc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 67

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-03-10

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