NICHOLE NORMA SCIACCOTTA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****23

License Status

ACTIVE

Business

First Name

NICHOLE

Middle

NORMA

Last Name

SCIACCOTTA

Business Name

NICHOLE NORMA SCIACCOTTA

Original Issue Date

08/09/2019

Effective Date

03/05/2024

Expiration Date

05/31/2026

City

NEW BERLIN

State

Zip

53151

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/09/2026