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Laura Nissen

NPI 1942082029 · on the registry since 2023 · sole proprietor

Practice

Address
825 Cobblestone Ln
Kimberly, WI 54136
Phone
(920) 282-6658
Organisation at this address
Hsl 14, Llc
Aegis Group Practice Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-10-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin