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NPI Code Detail

MEDICARE: NANCY L NINMAN NP

MEDICARE: NANCY L NINMAN NP
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
1363L00000XNurse Practitioner2940WI

General Provider Information

NPI Number : 1801991138
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY L NINMAN NP
Provider Business Mailing Address
First Line : 10 LYNBROOK CIR
Second Line :
City : MADISON
State : WI
Zip : 53719-3103
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10 LYNBROOK CIR
Second Line :
City : MADISON
State : WI
Zip : 53719-3103
Country : US
Telephone Number : 608-274-3951
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 03/06/2019

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