MEDICARE: NIKKI MCNEAL

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	251B00000X	Case Management Agency		WI

General Provider Information

NPI Number	:	1265367817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIKKI MCNEAL

Provider Business Mailing Address
First Line	:	4800 W EGGERT PL
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53218-4401
Country	:	US
Telephone Number	:	414-293-2988
Fax Number	:

Provider Business Practice Location Address
First Line	:	4800 W EGGERT PL
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53218-4401
Country	:	US
Telephone Number	:	414-293-2988
Fax Number	:

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

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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Directions to “ NIKKI MCNEAL ” Practice Location

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