Healthcare Provider Details

I. General information

NPI: 1700817889
Provider Name (Legal Business Name): MARGARET ANN BERNER CNM, APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGARET ANN SZYDLIK RN

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 12/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1834 W WISCONSIN AVE SUITE 100
MILWAUKEE WI
53233-2125
US

IV. Provider business mailing address

1834 W WISCONSIN AVE SUITE 100
MILWAUKEE WI
53233-2125
US

V. Phone/Fax

Practice location:
  • Phone: 414-933-9100
  • Fax: 414-933-9200
Mailing address:
  • Phone: 414-933-9100
  • Fax: 414-933-9200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number139993-032
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: