Individual
MS. MELANIE LOUISE HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3004 EDMONTON DR, SUN PRAIRIE, WI 53590-4278
(262) 424-8727
Mailing address
3004 EDMONTON DR, SUN PRAIRIE, WI 53590-4278
(262) 424-8727
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
176837-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35057500
—
WI
Enumeration date
05/05/2008
Last updated
05/21/2012
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