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Dr. Nicole Lee Samudio, DNP
Family Nurse Practitioner in Baldwin, Wisconsin
NPI 1831712355

Nicole Lee Samudio is a Family Nurse Practitioner based in Spring Valley, WI and is specialized in Family. Nicole Lee Samudio practices in Baldwin, WI and has the professional credentials of DNP. The NPI Number for Nicole Lee Samudio is 1831712355 and holds a License No. 10216-33 (Wisconsin).

The current practice location address for Nicole Lee Samudio is 1100 Bergslien St, Baldwin, WI and can be reached out via phone at 715-684-1111.

Location: 1100 Bergslien St, Baldwin, WI, 54767-9107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831712355
Provider Name
Nicole Lee Samudio
Credential
DNP
Provider Entity Type
Individual
Gender
Female
Address
1100 Bergslien St, Baldwin, WI, 54767-9107
Phone Number
715-684-1111
Fax Number
Provider Enumeration Date
05/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1100 Bergslien St
City
Baldwin
State
Wisconsin
Zip
54002-2600
Phone Number
715-684-1111
Fax Number
person
Provider Business Mailing Address Details
Address
1100 Bergslien St
City
Baldwin
State
Wisconsin
Zip
54002-2600
Phone Number
715-684-1111
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
10216-33 (Wisconsin)
Definition
Definition to come...
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