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Individual
MELISSA ANN WEISE
Active
Individual
MELISSA ANN WEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
8068
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972014017
—
WI
Enumeration date
10/16/2017
Last updated
05/15/2024
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