IndividualActive
Nicole Holzem
NPI 1679749667 · Skilled Nursing Facility · Wausau, WI
Provider details
- NPI number
- 1679749667
- Entity type
- Individual
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1419-019 (WI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3107 Westhill Dr
Wausau, WI 54401-3774
Phone: (715) 845-8444
Street-level locationGet directions
Mailing address
704 W Crocker St
Wausau, WI 54401-2130
Registry dates
- Enumerated
- 2008-04-30
- Last updated
- 2025-10-24
- Certified
- 2025-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.