National Provider Identifier Database

JUANITA NICKELSON
Nursing Home Administrator

An individual, often licensed by the state, who is responsible for the management of a nursing home.


Contact Information

JUANITA NICKELSON
2501 MCKENNA BLVD
MADISON, WI53711-3917
Phone: 414-704-4217
Fax:
Website:
Specialty Taxonomy Code
* Nursing Home Administrator 376G00000X

* Indicates primary specialty

NPI Profile & details for JUANITA NICKELSON

NPI Number 1659965606
Credentials
Entity Individual
Enumeration date 02/21/2021
Last updated 02/21/2021 - About 5 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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