Individual
MELANIE L GOECKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14555 W NATIONAL AVE, NEW BERLIN, WI 53151-4494
(708) 550-6604
(414) 389-5494
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13435
WI
363L00000X
Nurse Practitioner
277-004357
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100226003
—
WI
Enumeration date
08/08/2010
Last updated
01/26/2026
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