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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 LlcInferred 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