Most Relevant Information
Provider Data
| NPI Number: | 1003513284 |
| Provider Name: | MARIA KISELICKA APNP, APRN, FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 13555 |
Most Important Dates
| Enumeration Date: | 02/08/2023 |
| Last Updated: | 02/29/2024 |
Provider Practice Location
933 W DIVERSEY PKWY
CHICAGO
IL
606141439
Practice Location Phone/Fax
| Phone: | 3124458805 |
| Fax: |
Provider Mailing Location
9100 W OKLAHOMA AVE APT 207
WEST ALLIS
WI
532274812
Provider Mailing Phone/Fax
| Phone: | 4144600627 |
| Fax: |