O'Hanison, Melissa Marie

O'Hanison, Melissa Marie is an individual health care provider with primary practice located at 2424 S 90Th St Ste 300 , West Allis WI 53227-2455. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. O'Hanison, Melissa Marie can be contacted via phone (414) 328-8750.

Contact Information

Primary practice address
2424 S 90Th St Ste 300 West Allis WI 53227-2455
Fax:
Website:

Health care specialties

Profile Details

NPI number 1790382323
LBN Legal business name O'Hanison, Melissa Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2020
Last updated Dec 10th, 2023 - about 2 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 1790382323 NPPES
Wisconsin MEDICAID 100140035

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