Korittnig, Melissa

Korittnig, Melissa is an individual health care provider with primary practice located at 2701 E Enterprise Ave , Appleton WI 54913-7729. 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. Korittnig, Melissa can be contacted via phone (920) 954-2551.

Contact Information

Primary practice address
2701 E Enterprise Ave Appleton WI 54913-7729
Phone: (920) 954-2551
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2648-033 Wisconsin

Profile Details

NPI number 1124050703
LBN Legal business name Korittnig, Melissa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124050703 NPPES
Wisconsin MEDICAID 41266300

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