Individual provider · Type 1 NPI
Melissajo Truckenbrod, APNP
Family Nurse Practitioner · Milwaukee, WI
NPI number
1922873850
Active
Practice location
2311 N Prospect Ave
Milwaukee, WI 53211-4445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 14583-33 (WI) |
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | 14583-33 (WI) |
| Adult Medicine Physician | 207QA0505X | 14583-33 (WI) |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 14583-33 (WI) |
| Primary Care Nurse Practitioner | 363LP2300X | 14583-33 (WI) |
| Family Nurse Practitioner Primary | 363LF0000X | 14583-33 (WI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1922873850
Melissajo Truckenbrod, APNP's National Provider Identifier is 1922873850, issued on Nov 21, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Milwaukee, WI. The record was last updated on Nov 21, 2023.