Individual
MRS. MELISSA BRYNN FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6901 W EDGERTON AVE, GREENFIELD, WI 53220-4420
(414) 421-8400
(414) 421-9557
Mailing address
6901 W EDGERTON AVE, GREENFIELD, WI 53220-4420
(414) 325-5244
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209-019978
IL
363L00000X
Nurse Practitioner
Primary
7575
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100066382
—
WI
Enumeration date
03/07/2017
Last updated
10/28/2025
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