Healthcare Provider Details

I. General information

NPI: 1912454687
Provider Name (Legal Business Name): ERIKA M. KLITZKE NNP-BC, CPNP-BC, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2016
Last Update Date: 04/05/2024
Certification Date: 04/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 W WISCONSIN AVE DIVISION OF NEONATOLOGY
MILWAUKEE WI
53226-4874
US

IV. Provider business mailing address

9000 W WISCONSIN AVE DIVISION OF NEONATOLOGY
MILWAUKEE WI
53226-4874
US

V. Phone/Fax

Practice location:
  • Phone: 414-266-6820
  • Fax: 414-266-6979
Mailing address:
  • Phone: 414-266-6820
  • Fax: 414-266-6979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number7245-33
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number7245-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: