Individual
MISS MELISSA G FORRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
825 W MADISON AVE, MILTON, WI 53563-1035
(608) 868-9246
Mailing address
907 ROGERS ST, MILTON, WI 53563-1755
(608) 449-8819
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
241943-30
WI
164W00000X
Licensed Practical Nurse
Primary
309243-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
309243-031
LPN
WI
Enumeration date
01/29/2010
Last updated
04/27/2026
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