MEDICARE: MS. NICOLE M. RINTELMAN RN

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	163W00000X	Registered Nurse	190110	WI

General Provider Information

NPI Number	:	1801136288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NICOLE M. RINTELMAN RN

Provider Business Mailing Address
First Line	:	N114W15141 VICKSBURG AVE
Second Line	:
City	:	GERMANTOWN
State	:	WI
Zip	:	53022-3525
Country	:	US
Telephone Number	:	262-751-1945
Fax Number	:

Provider Business Practice Location Address
First Line	:	4600 W. SCHROEDER DRIVE
Second Line	:	ROGERS MEMORIAL HOSPITAL
City	:	BROWN DEER
State	:	WI
Zip	:	53223
Country	:	US
Telephone Number	:	414-355-9000
Fax Number	:

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

Provider Enumeration Date	:	02/22/2013
Last Update Date	:	02/22/2013

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