Individual provider · Type 1 NPI

Nicole Anissa Kujawa, PA

Physician Assistant · Oconomowoc, WI

NPI number 1174628341 Active

Practice location

1320 Pabst Farms Cir Unit 180
Oconomowoc, WI 53066-4878

Fax (262) 560-0379

Mailing address

801 York St
Manitowoc, WI 54220-4630

Other practice locations

  • 16455 W Bluemound Rd, Brookfield, WI 53005-5921 · (262) 784-7820

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1015-23 (WI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

3 other providers at this address

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About NPI 1174628341

Nicole Anissa Kujawa, PA's National Provider Identifier is 1174628341, issued on Sep 13, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Oconomowoc, WI. The record was last updated on Nov 21, 2025.