Individual
COURTNEY MELINYK HARTZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1936 N 37TH ST, MILWAUKEE, WI 53208-1801
(414) 208-3428
Mailing address
1936 N 37TH ST, MILWAUKEE, WI 53208-1801
(414) 208-3428
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
324906
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720338486
KEAOHNA REYNOLDS
WI
Enumeration date
08/07/2023
Last updated
03/17/2026
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