Individual
DANIELLE L KUCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
6609 W GREENFIELD AVE, WEST ALLIS, WI 53214-4958
(414) 257-8577
(414) 257-8505
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9159
WI
363LF0000X
Family Nurse Practitioner
9159
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100087263
—
WI
Enumeration date
03/30/2019
Last updated
12/04/2024
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