Individual
MELISSA VIRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 WALTON DR, PLYMOUTH, WI 53073-5022
(920) 496-4700
Mailing address
825 WALTON DR, PLYMOUTH, WI 53073-5022
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6037-033
WI
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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