MELISSAJO TRUCKENBROD

MILWAUKEE, WI
NPI1922873850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WI  14583-33)
Additional Taxonomies207Q00000X Family Medicine
(Licence: WI  14583-33)
207QA0000X Family Medicine, Adolescent Medicine
(Licence: WI  14583-33)
207QA0505X Family Medicine, Adult Medicine
(Licence: WI  14583-33)
207QG0300X Family Medicine, Geriatric Medicine
(Licence: WI  14583-33)
363LP2300X Nurse Practitioner, Primary Care
(Licence: WI  14583-33)
Enumeration Date2023-11-21
Last Update Date2023-11-21
Business Address
Mrs. MELISSAJO TRUCKENBROD APNP
2311 N PROSPECT AVE
MILWAUKEE, WI 53211-4445
Phone number: 414-319-3000
Mailing Address
Mrs. MELISSAJO TRUCKENBROD APNP
2311 N PROSPECT AVE
MILWAUKEE, WI 53211-4445
Phone number: 414-391-3000