Individual
MELANIE KLAWITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
11211 W LINCOLN AVE, WEST ALLIS, WI 53227-1035
(414) 454-8300
Mailing address
11211 W LINCOLN AVE, WEST ALLIS, WI 53227-1035
(414) 454-8300
(414) 327-1450
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9242
WI
363LG0600X
Gerontology Nurse Practitioner
9242
WI
Other
Enumeration date
04/15/2020
Last updated
06/16/2020
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