Individual
MELISSA KORITTNIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2701 E ENTERPRISE AVE, APPLETON, WI 54913-7729
(920) 954-2551
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3298
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2648-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41266300
—
WI
Enumeration date
07/06/2006
Last updated
07/08/2007
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