NPI 1053067025

Nicole Mae McIntyre, PAC

Practitioner Physician Assistant Appleton, WI

Practice location

Address: 247 S Nicolet Rd, Appleton, WI 54914-3938
Phone: (888) 938-3838
Fax: (888) 919-1083
Mailing address: 10001 W Innovation Dr STE 200, Milwaukee, WI 53226-4851

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 7006 (WI)

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Registry record

NPI: 1053067025
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Feb 2022
Record last updated: 15 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.