MICHELE A KRUCKMAN RN CLC NPI 1609104959

NPI Information

NPI: 1609104959
Provider Name: MICHELE A KRUCKMAN, RN, CLC
Classification: Registered Nurse - 163WL0100X
Entity Type: Individual

Specialization: Lactation Consultant

Address:
4410 REGENT ST
MADISON, WI
ZIP 53705
Phone: (608) 233-9746
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Michele A Kruckman, RN, CLC is a lactation consultant registered nurse in Madison, WI. Michele A Kruckman, RN, CLC NPI is 1609104959. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4410 REGENT ST
MADISON, WI
ZIP 53705-901
Phone: (608) 233-9746
Fax: (608) 233-9993

The enumeration date for this NPI number is 11/25/2009 and was last updated on 12/12/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		168199-030	WISCONSIN	No
2	163WL0100X	Registered Nurse	Lactation Consultant	207511	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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