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Individual

MELINDA HOLLY ALTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
N7135 ROCKY KNOLL PKWY, PLYMOUTH, WI 53073-3103
(630) 571-8990
Mailing address
N7135 ROCKY KNOLL PKWY, PLYMOUTH, WI 53073-3103
(630) 571-8990

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11869
WI
363LP2300X
Primary Care Nurse Practitioner
A097345
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100202310
WI
Enumeration date
09/10/2014
Last updated
08/16/2023
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