Healthcare Provider Details

I. General information

NPI: 1891282752
Provider Name (Legal Business Name): VALERIE OLIVER CNM, APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VALERIE SZUDY

II. Dates (important events)

Enumeration Date: 04/17/2018
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 N 12TH ST
MILWAUKEE WI
53233-1308
US

IV. Provider business mailing address

PO BOX 735044
CHICAGO IL
60673-5044
US

V. Phone/Fax

Practice location:
  • Phone: 414-219-5219
  • Fax:
Mailing address:
  • Phone: 800-326-2250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number148928-32
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: