NPI 1467144204
Nichole McDermid, ABO
Practice location
- Address
- 2440 W Mason St, Green Bay, WI 54303-4711
- Phone
- (920) 405-9165
- Fax
- (920) 405-9296
Registered specialties
Optician
Primary
Registry record
- NPI
- 1467144204
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 May 2023
- Record last updated
- 22 May 2023
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.