Provider Demographics
NPI:1396828851
Name:SKIERKA, MICHELLE L (MSN, APNP, FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:L
Last Name:SKIERKA
Suffix:
Gender:F
Credentials:MSN, APNP, FNP-BC
Other - Prefix:MS
Other - First Name:MICHELLE
Other - Middle Name:L
Other - Last Name:LOCHNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:1271 N 6TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53212-3360
Mailing Address - Country:US
Mailing Address - Phone:414-978-9100
Mailing Address - Fax:414-978-9131
Practice Address - Street 1:1271 N 6TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53212-3360
Practice Address - Country:US
Practice Address - Phone:414-978-9100
Practice Address - Fax:414-978-9131
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13084400-030163W00000X
WI2948-033363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI130844-033OtherR.N. LICENSE NUMBER
WI1396828851Medicaid
WI1396828851OtherOTHER PRIVATE INSURANCES
WI2948OtherAPNP LICENSE NUMBER
WI2006006629OtherFNP BOARD CERTIFICATION FROM THE AMERICAN NURSES CREDENTIALING CENTER (ANCC)
WI2006006629OtherFNP BOARD CERTIFICATION FROM THE AMERICAN NURSES CREDENTIALING CENTER (ANCC)