Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michele A Kruckman, RN, CLC

Individual provider Registered Nurse · NPI 1609104959

Michele A Kruckman, RN, CLC is a Registered Nurse in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2009.

Licensed in
WI
In the registry since
2009
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

4410 Regent St
Madison, WI 53705-4901
Phone: (608) 233-9746
Fax: (608) 233-9993
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lactation Consultant (Registered Nurse) (primary) Taxonomy 163WL0100X · Licence 207511 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 168199-030 (WI)

Record details

NPI number1609104959
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , CLC
Sole proprietorNo
NPI enumeratedNovember 25, 2009
Last updated in NPPESDecember 12, 2014

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