NPI 1730273038

Heather Marita Niccoli, HS

Practitioner Independent Duty Medical Technicians Milwaukee, WI

Practice location

Address: 2420 S Lincoln Memorial Dr Uscg Sector Lake Michigan-Medical, Milwaukee, WI 53207-1902
Phone: (414) 747-7110
Fax: (414) 747-7891
Mailing address: 3431 S 113th St APT 3, West Allis, WI 53227-3954

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X Licence 1259829 (CA)

Other Military Health Care Provider providers in Wisconsin →

Registry record

NPI: 1730273038
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Oct 2006
Record last updated: 8 Jul 2007

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.