Individual provider · Type 1 NPI

Melissa Dettman

Registered Nurse · Madison, WI

NPI number 1740130624 Active

Practice location

4904 Eastpark Blvd
Madison, WI 53718-2007

Mailing address

W6572 Navan Rd
Watertown, WI 53094-9111

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X235685-30 (WI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

6 other providers at this address

Other registered nurse providers in Madison

See all in Madison →

About NPI 1740130624

Melissa Dettman's National Provider Identifier is 1740130624, issued on Jan 30, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Madison, WI. The record was last updated on Jan 30, 2026.