Individual provider · Type 1 NPI

Mariah M. Collicott, NP

Family Nurse Practitioner · Waukesha, WI

NPI number 1568185403 Active

Practice location

20611 Watertown Rd Ste E
Waukesha, WI 53186-1871

Call (629) 014-4502 Map

Fax (262) 901-4451

Other practice locations

  • 1061 E Commerce Blvd, Slinger, WI 53086-9326 · (262) 644-2900

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X13169-33 (WI)
Nurse Practitioner 363L00000X13169-33 (WI)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1568185403

Mariah M. Collicott, NP's National Provider Identifier is 1568185403, issued on Sep 26, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Waukesha, WI. The record was last updated on Aug 5, 2025.