Healthcare Provider Details
I. General information
NPI: 1336149756
Provider Name (Legal Business Name): LINDA MARIE SZOCIK APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 07/28/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1027 N 9TH ST
MILWAUKEE WI
53233-1411
US
IV. Provider business mailing address
3729 S PACKARD AVE APT 6
SAINT FRANCIS WI
53235-4331
US
V. Phone/Fax
- Phone: 414-765-0606
- Fax: 414-765-0226
- Phone: 414-482-0670
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 52238-030 |
| License Number State | WI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 1464-D33 |
| License Number State | WI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: