Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Elizabeth Forbord, PA

Individual provider Physician Assistant · NPI 1063921781

Nicole Elizabeth Forbord, PA is a Physician Assistant in Milwaukee, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

10625 W North Ave Ste 102
Milwaukee, WI 53226-2315
Phone: (414) 877-5350
Fax: (414) 877-5360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 531 Broadway E Ste 10, Seattle, WA 98102-5023 — (503) 684-8252

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4293-23 (WI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1063921781
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 26, 2017
Last updated in NPPESAugust 11, 2020
Certification dateAugust 11, 2020

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