Mariah M Collicott, NP Valid NPI

Individual provider · Family Nurse Practitioner · Waukesha, WI

NPI

1568185403

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

13169-33 (WI)

Sex

Female

Sole proprietor

No

Enumerated

2022-09-26

Last updated

2025-08-05