Individual provider · Type 1 NPI

David J. Pencikowski, NP

Nurse Practitioner · South Milwaukee, WI

NPI number 1962579243 Active

Practice location

3611 S Chicago Ave
South Milwaukee, WI 53172-3738

Other practice locations

  • 810 Liebman Ct, Apt 8, Green Bay, WI 54302-5090 · (999) 999-9999

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X3008-33 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1962579243

David J. Pencikowski, NP's National Provider Identifier is 1962579243, issued on Nov 29, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in South Milwaukee, WI. The record was last updated on Nov 30, 2021.