Individual
MELISSA ANN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
3100 SUPERIOR AVE, SHEBOYGAN, WI 53081-1948
(920) 459-8300
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3771-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100006451
—
WI
Enumeration date
06/25/2009
Last updated
03/06/2026
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