Fowlkes, Melody A
Fowlkes, Melody A is an individual health care provider with primary practice located at 12122 N Rolling Field Dr , Mequon WI 53097-2766. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fowlkes, Melody A can be contacted via phone (262) 242-2283.Contact Information
Primary practice address
12122 N Rolling Field Dr
Mequon WI 53097-2766
Phone: (262) 242-2283
Fax: (262) 242-2156
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 80518-030 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 1462-033 | Wisconsin |
Profile Details
| NPI number | 1194830257 |
|---|---|
| LBN Legal business name | Fowlkes, Melody A |
| Credentials | APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Apr 23rd, 2008 - about 16 years ago |
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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