Individual
MELODIE DEFOUW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
127 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 261-8500
(920) 261-8828
Mailing address
127 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 261-8500
(920) 261-8828
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
865233
WI
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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