Provider Demographics
NPI:1316693203
Name:REINWALD, MELISSA ANNE (RN)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANNE
Last Name:REINWALD
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:ANNE
Other - Last Name:SCHRUBBE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:N3551 COUNTY ROAD G
Mailing Address - Street 2:
Mailing Address - City:REESEVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53579-9702
Mailing Address - Country:US
Mailing Address - Phone:920-318-9199
Mailing Address - Fax:
Practice Address - Street 1:1305 CHESTNUT ST STE 3
Practice Address - Street 2:
Practice Address - City:WEST BEND
Practice Address - State:WI
Practice Address - Zip Code:53095-3060
Practice Address - Country:US
Practice Address - Phone:262-384-3324
Practice Address - Fax:414-622-3890
Is Sole Proprietor?:No
Enumeration Date:2022-03-01
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI12175-33363LF0000X
WI159520163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse