Individual provider · Type 1 NPI
Juanita Nickelson
Nursing Home Administrator · Madison, WI
NPI number
1659965606
Active
Practice location
2501 Mckenna Blvd
Madison, WI 53711-3917
Mailing address
733 Struck St Unit 45617
Madison, WI 53744-3660
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Home Administrator Primary | 376G00000X | None listed |
Nursing Home Administrator: An individual, often licensed by the state, who is responsible for the management of a nursing home.
Another provider at this address
About NPI 1659965606
Juanita Nickelson's National Provider Identifier is 1659965606, issued on Feb 21, 2021. The primary taxonomy on file is Nursing Home Administrator (376G00000X), and the practice location is in Madison, WI. The record was last updated on Feb 21, 2021.