Individual
MARIA KISELICKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP, APRN, FNP-BC
Contact information
Practice address
10625 W NORTH AVE STE 101B, WAUWATOSA, WI 53226-2315
(414) 877-5350
Mailing address
10625 W NORTH AVE STE 101B, WAUWATOSA, WI 53226-2315
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13555
WI
363L00000X
Nurse Practitioner
209029140
IL
363LF0000X
Family Nurse Practitioner
13555
WI
Other
Enumeration date
02/08/2023
Last updated
02/24/2025
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