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Contact Information

NICOLE A KAKUK, APRN
2300 WESTERN AVE
MANITOWOC, WI54220-3712
 Phone: 920-320-2011
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Licensed Vocational Nurse

164X00000X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for NICOLE A KAKUK · (Female)

NPI Number 1790220044
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 12/22/2016
Last updated 06/07/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 12223-33
  • WI License # 232814 - 30
  • WI License # 319942
Hospital affiliation(s) Not Available
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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