Individual
MELISSA NEWINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
N7517 BIRCHWOOD RD, CRIVITZ, WI 54114-7529
(920) 883-6808
Mailing address
N7517 BIRCHWOOD RD, CRIVITZ, WI 54114-7529
(920) 883-6808
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
161648
WI
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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