IndividualActive
Michele Kruckman, RN, CLC
NPI 1609104959 · Lactation Consultant (Registered Nurse) · Madison, WI
Provider details
- NPI number
- 1609104959
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Registered Nurse)Nursing Service Providers
- Credential
- RN, CLC
- Sex
- Female
- Sole proprietor
- No
- License
- 168199-030 (WI)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Practice location
4410 Regent St
Madison, WI 53705-4901
Phone: (608) 233-9746
Fax: (608) 233-9993
Approximate (ZIP-level) locationGet directions
Mailing address
N1639 Fjord Cir
Prairie Du Sac, WI 53578-9551
Registry dates
- Enumerated
- 2009-11-25
- Last updated
- 2014-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.