Provider Demographics
NPI:1891282752
Name:OLIVER, VALERIE (CNM, APNP)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:OLIVER
Suffix:
Gender:F
Credentials:CNM, APNP
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:
Other - Last Name:SZUDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6273 N 118TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53225-1112
Mailing Address - Country:US
Mailing Address - Phone:608-577-8575
Mailing Address - Fax:
Practice Address - Street 1:530 N 108TH PL STE 100
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-4253
Practice Address - Country:US
Practice Address - Phone:414-231-9640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-17
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI148928-32176B00000X
WI367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100078696Medicaid