Individual
MELISSA M HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5337 W ARIZONA ST, MILWAUKEE, WI 53219-3358
(414) 698-6114
Mailing address
5337 W ARIZONA ST, MILWAUKEE, WI 53219-3358
(414) 698-6114
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13059-33
WI
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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