Willming, Mellissa C

Willming, Mellissa C is an individual health care provider with primary practice located at 320 S Walnut St , Appleton WI 54911-5918. 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. Willming, Mellissa C can be contacted via phone (920) 843-5973.

Contact Information

Primary practice address
320 S Walnut St Appleton WI 54911-5918
Phone: (920) 843-5973
Fax: (414) 622-3869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 7680-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 7680 Wisconsin

Profile Details

NPI number 1679782700
LBN Legal business name Willming, Mellissa C
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Oct 9th, 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 1679782700 NPPES
Wisconsin MEDICAID 100067789

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