| Nicole V Zellner, Llc | |
|
930 E Knapp St Milwaukee WI 53202-2896 | |
| (414) 522-1250 | |
| Not Available |
| Full Name | Nicole V Zellner, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 930 E Knapp St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Nicole V Zellner (SOCIAL WORKER) |
| Authorized Official Contact | 4145221250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole V Zellner, Llc 930 E Knapp St Milwaukee WI 53202-2896 Ph: (608) 385-8147 | Nicole V Zellner, Llc 930 E Knapp St Milwaukee WI 53202-2896 Ph: (414) 522-1250 |
| NPI Number | 1649677154 |
|---|---|
| Provider Enumeration Date | 11/26/2014 |
| Last Update Date | 11/29/2023 |
| Certification Date | 05/24/2021 |
| Medicare PECOS PAC ID | 7113242082 |
|---|---|
| Medicare Enrollment ID | O20150217001812 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649677154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7751-123 (Wisconsin) | Primary |
| Provider Name | Nicole Vanessa Zellner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699068015 PECOS PAC ID: 5092937425 Enrollment ID: I20141119000655 |
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