Provider Demographics
NPI:1104148147
Name:REMITZ, MELANY ANN (RN, BSN, FNP-BC)
Entity type:Individual
Prefix:MS
First Name:MELANY
Middle Name:ANN
Last Name:REMITZ
Suffix:
Gender:F
Credentials:RN, BSN, FNP-BC
Other - Prefix:
Other - First Name:MELANY
Other - Middle Name:ANN
Other - Last Name:OLSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:1320 PRAIRIE CREEK BLVD
Mailing Address - Street 2:
Mailing Address - City:OCONOMOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:53066-8697
Mailing Address - Country:US
Mailing Address - Phone:262-875-7484
Mailing Address - Fax:262-746-2021
Practice Address - Street 1:15435 W NATIONAL AVE
Practice Address - Street 2:
Practice Address - City:NEW BERLIN
Practice Address - State:WI
Practice Address - Zip Code:53151-5156
Practice Address - Country:US
Practice Address - Phone:262-746-2022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-18
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI159477-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse