Individual
MICHELLE CZARNECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BC MSN CPNP
Contact information
Practice address
9000 W WISCONSIN AVE, MS 792, MILWAUKEE, WI 53201-1997
(414) 266-3589
(414) 266-1761
Mailing address
9000 W WISCONSIN AVE, MS 792, MILWAUKEE, WI 53201-1997
(414) 266-3589
(414) 266-1761
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1672033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811155302
—
WI
Enumeration date
05/30/2008
Last updated
06/18/2021
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