| Melinda Holly Altman, ARNP | |
|
N7135 Rocky Knoll Pkwy, Plymouth, WI 53073-3103 | |
| (630) 571-8990 | |
| Not Available |
| Full Name | Melinda Holly Altman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | N7135 Rocky Knoll Pkwy, Plymouth, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821499740 | NPI | - | NPPES |
| 100202310 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | A097345 (Iowa) | Secondary |
| 363L00000X | Nurse Practitioner | 11869 (Wisconsin) | Primary |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Entity Name | Azh Vascular Center Mke Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508312570 PECOS PAC ID: 3072892710 Enrollment ID: O20161121000201 |
| Entity Name | Third Coast Vascular Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356085104 PECOS PAC ID: 8325425911 Enrollment ID: O20220520000669 |
| Mailing Address | Practice Location Address |
|---|---|
| Melinda Holly Altman, ARNP N7135 Rocky Knoll Pkwy, Plymouth, WI 53073-3103 Ph: (630) 571-8990 | Melinda Holly Altman, ARNP N7135 Rocky Knoll Pkwy, Plymouth, WI 53073-3103 Ph: (630) 571-8990 |
Amanda Otte, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Persnickety Pl, Plymouth, WI 53073 Phone: 920-892-3774 | |
Leah Fabis, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: One Persnickety Way, Plymouth, WI 53073 Phone: 888-893-6141 Fax: 608-338-0971 | |
Anna Kutchie, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 825 Walton Dr, Plymouth, WI 53073 Phone: 920-496-4700 | |
Jennifer Lynn Stricker, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Persnickety Pl, Plymouth, WI 53073 Phone: 920-496-4700 | |
Mrs. Katie Sue Bruckner, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Persnickety Pl, Plymouth, WI 53073 Phone: 920-892-3468 Fax: 920-892-5385 | |
Heather Meeusen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 825 Walton Dr, Plymouth, WI 53073 Phone: 920-893-0903 | |
Mrs. Rebecca Rose Hoerth, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2631 Eastern Ave, Plymouth, WI 53073 Phone: 920-476-6350 |