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

Nicole Smith

Individual provider Licensed Practical Nurse · NPI 1336803188

Nicole Smith is a Licensed Practical Nurse in Madison, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2021

Practice location Address checks out

2858 Kingston Dr
Madison, WI 53713-2849
Phone: (608) 298-7180
Fax: (608) 241-8414
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 310423-031 (WI)

Record details

NPI number1336803188
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 27, 2021
Last updated in NPPESOctober 27, 2021
Certification dateOctober 27, 2021
Mailing address2862 Kingston Dr, Madison, WI 53713-2849

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