Cody, Melissa Katherine

Cody, Melissa Katherine is an individual health care provider with primary practice located at 10000 W Bluemound Rd , Wauwatosa WI 53226-4321. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Cody, Melissa Katherine can be contacted via phone (414) 374-6624.

Contact Information

Primary practice address
10000 W Bluemound Rd Wauwatosa WI 53226-4321
Phone: (414) 374-6624
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 4298-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP124052 Texas

Profile Details

NPI number 1962705707
LBN Legal business name Cody, Melissa Katherine
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2010
Last updated Jul 24th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962705707 NPPES
Wisconsin Other 4298-33 WI APNP NUMBER

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