Individual
MELISSA ANN WEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
8375 S HOWELL AVE, OAK CREEK, WI 53154-8344
(414) 764-5726
(414) 764-6954
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 764-5726
(414) 764-6954
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
8068
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972014017
—
WI
Enumeration date
10/16/2017
Last updated
05/15/2024
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