NICOLE MARIE BOUWMA RN
NPI 1073631552
Registered Nurse - Home Health in West Allis, WI

Q: What is Nicole Bouwma's NPI number?

The NPI number for Nicole Bouwma is 1073631552. It was assigned to this individual provider in the NPPES registry on March 26, 2007. The provider is also known as Nicole Marie Lyon Rn.

Q: What is Nicole Bouwma's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Home Health, with taxonomy code 163WH0200X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Bouwma was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 26, 2007

1717 S 70TH, WEST ALLIS, WI 53214(414) 791-2031 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Nicole Marie Bouwma Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE MARIE BOUWMA RN (NPI 1073631552) is an individual home health provider in West Allis, Wisconsin and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1073631552

Entity TypeIndividualFemale

Primary Taxonomy163WH0200X

Provider Legal NameNICOLE MARIE BOUWMACredential: RN

Location Address1717 S 70THWest Allis, WI 53214

Mailing Address3657 S 18th StMilwaukee, WI 53221-1551 · (414) 517-4059

Phone(414) 791-2031

Sole ProprietorYes

Enumeration DateMarch 26, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1073631552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Home HealthNursing Service Providers

Taxonomy Code163WH0200X

1717 S 70TH, West Allis, WI 53214

Open in Google Maps ↗

Other Names 1

Former Name (1)Nicole Marie Lyon Rn

Other Identifiers 1

Medicaid38325200WI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Bouwma's NPI number?

The NPI number for Nicole Bouwma is 1073631552. It was assigned to this individual provider in the NPPES registry on March 26, 2007. The provider is also known as Nicole Marie Lyon Rn.

Where is Nicole Bouwma located?

Nicole Bouwma practices at 1717 S 70th, West Allis, WI 53214. The listed phone number is (414) 791-2031.

What is Nicole Bouwma's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Home Health, with taxonomy code 163WH0200X.

When was this NPI record last updated?

The NPPES record for Nicole Bouwma was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.