Individual
MS. SANDRA MUCHKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215-3677
(414) 385-1219
Mailing address
2901 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215-3677
(414) 385-1219
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
74300
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008006261L
HUMANA
—
05
—
43945500
—
WI
Enumeration date
05/22/2006
Last updated
11/24/2021
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