Individual
MS. MELODY RUTH SOCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3119 S CLEMENT AVE, MILWAUKEE, WI 53207-2835
(414) 486-1900
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9341
WI
363LA2100X
Acute Care Nurse Practitioner
9341
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100092511
—
WI
Enumeration date
07/08/2019
Last updated
05/30/2024
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