MEDICARE: NICOLE THOMPSON PASS TRAINING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)	T5126237690401	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144176124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE THOMPSON PASS TRAINING

Provider Business Mailing Address
First Line	:	5715 N 37TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-4015
Country	:	US
Telephone Number	:	414-326-6575
Fax Number	:

Provider Business Practice Location Address
First Line	:	5715 N 37TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-4015
Country	:	US
Telephone Number	:	414-326-6575
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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Directions to “ NICOLE THOMPSON PASS TRAINING” Practice Location

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