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Juanita Nickelson
Nursing Home Administrator in Madison, Wisconsin
NPI 1659965606

Juanita Nickelson is a Nursing Home Administrator based in Madison, WI. Juanita Nickelson practices in Madison, WI. The NPI Number for Juanita Nickelson is 1659965606 and holds a License No. (Wisconsin).

The current practice location address for Juanita Nickelson is 2501 Mckenna Blvd, Madison, WI and can be reached out via phone at 414-704-4217.

Location: 2501 Mckenna Blvd, Madison, WI, 53744-3660
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659965606
Provider Name
Juanita Nickelson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2501 Mckenna Blvd, Madison, WI, 53744-3660
Phone Number
414-704-4217
Fax Number
Provider Enumeration Date
02/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2501 Mckenna Blvd
City
Madison
State
Wisconsin
Zip
53711-3917
Phone Number
414-704-4217
Fax Number
person
Provider Business Mailing Address Details
Address
2501 Mckenna Blvd
City
Madison
State
Wisconsin
Zip
53711-3917
Phone Number
414-704-4217
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Nursing Home Administrator
Speciality
-
Taxonomy
376G00000X
License No.
()
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
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