Provider Demographics
NPI:1386400117
Name:MELCHER, MELISSA MAY (DNP, MN, RN, FNP-BC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:MAY
Last Name:MELCHER
Suffix:
Gender:F
Credentials:DNP, MN, RN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 N CRAMER ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53211-2815
Mailing Address - Country:US
Mailing Address - Phone:224-210-0404
Mailing Address - Fax:
Practice Address - Street 1:2510 E CAPITOL DR
Practice Address - Street 2:
Practice Address - City:SHOREWOOD
Practice Address - State:WI
Practice Address - Zip Code:53211-2136
Practice Address - Country:US
Practice Address - Phone:414-975-8106
Practice Address - Fax:908-520-4137
Is Sole Proprietor?:No
Enumeration Date:2024-02-28
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI220941-30163W00000X
WI15170-33363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse