Healthcare Provider Details

I. General information

NPI: 1396828851
Provider Name (Legal Business Name): MICHELLE L. SKIERKA MSN, APNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHELLE L LOCHNER APRN

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 03/07/2023
Certification Date: 03/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1271 N 6TH ST
MILWAUKEE WI
53212-3360
US

IV. Provider business mailing address

1271 N 6TH ST
MILWAUKEE WI
53212-3360
US

V. Phone/Fax

Practice location:
  • Phone: 414-978-9100
  • Fax: 414-978-9131
Mailing address:
  • Phone: 414-978-9100
  • Fax: 414-978-9131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number13084400-030
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2948-033
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: