Individual
MELISSA MARIA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4025 S 90TH ST, GREENFIELD, WI 53228-2213
(414) 426-7030
Mailing address
4025 S 90TH ST, GREENFIELD, WI 53228-2213
(414) 426-7030
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
251951
WI
164W00000X
Licensed Practical Nurse
323797-31
WI
Other
Enumeration date
04/01/2019
Last updated
01/22/2020
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