Individual
MELISSA WEHRMAN KOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
9200 W LOOMIS RD, FRANKLIN, WI 53132-8887
(414) 529-9200
(414) 529-9207
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5912
WI
363LA2200X
Adult Health Nurse Practitioner
5912-33
WI
363LG0600X
Gerontology Nurse Practitioner
5912-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477796233
—
WI
Enumeration date
04/09/2009
Last updated
10/23/2024
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