MICHELE A KRUCKMAN RN CLC NPI 1609104959

NPI Information

  • NPI: 1609104959
  • Provider Name: MICHELE A KRUCKMAN, RN, CLC
  • Classification: Registered Nurse - 163WL0100X
  • Specialization: Lactation Consultant
  • Entity Type: Individual
  • Address: 4410 REGENT ST
    MADISON, WI
    ZIP 53705
  • Phone: (608) 233-9746

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NPI Details

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
1163W00000XRegistered Nurse168199-030WISCONSINNo
2163WL0100XRegistered NurseLactation Consultant207511WISCONSINYes

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: 3/30/2025

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