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NPI Code Detail

MEDICARE: MELANIE PLANTE NP

MEDICARE: MELANIE PLANTE NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner2324WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386721710
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE PLANTE NP
Provider Business Mailing Address
First Line : 11430 N PORT WASHINGTON RD
Second Line :
City : MEQUON
State : WI
Zip : 53092-3414
Country : US
Telephone Number : 262-518-1900
Fax Number :
Provider Business Practice Location Address
First Line : 11430 N PORT WASHINGTON RD
Second Line :
City : MEQUON
State : WI
Zip : 53092-3414
Country : US
Telephone Number : 262-518-1900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 04/18/2022

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Directions to “ MELANIE PLANTE NP” Practice Location

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