Individual
MRS. MELISSA KATHERINE CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
10000 W BLUEMOUND RD, WAUWATOSA, WI 53226-4321
(414) 374-6624
Mailing address
10000 W BLUEMOUND RD, WAUWATOSA, WI 53226-4321
(141) 437-4662
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
4298-33
WI
363LA2100X
Acute Care Nurse Practitioner
Primary
AP124052
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4298-33
WI APNP NUMBER
WI
Enumeration date
12/17/2010
Last updated
07/24/2023
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