Individual provider · Type 1 NPI
Michele A. Kruckman, RN, CLC
Lactation Consultant (Registered Nurse) · Madison, WI
NPI number
1609104959
Active
Practice location
4410 Regent St
Madison, WI 53705-4901
Fax (608) 233-9993
Mailing address
N1639 Fjord Cir
Prairie Du Sac, WI 53578-9551
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 168199-030 (WI) |
| Lactation Consultant (Registered Nurse) Primary | 163WL0100X | 207511 (WI) |
Lactation Consultant (Registered Nurse): Definition to come...
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- Elma O. Sia, MDPediatrics Physician Madison, WI NPI 1003878893
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About NPI 1609104959
Michele A. Kruckman, RN, CLC's National Provider Identifier is 1609104959, issued on Nov 25, 2009. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Madison, WI. The record was last updated on Dec 12, 2014.