Individual
MELISSA A O'ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1626 TUTTLE ST, BARABOO, WI 53913-1501
(608) 355-2023
Mailing address
1626 TUTTLE ST, BARABOO, WI 53913-1501
(608) 355-2023
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7230-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588113724
—
WI
Enumeration date
09/29/2016
Last updated
04/23/2025
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