Frederick, Melissa Brynn
Frederick, Melissa Brynn is an individual health care provider with primary practice located at 6901 W Edgerton Ave , Greenfield WI 53220-4420. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Frederick, Melissa Brynn can be contacted via phone (414) 421-8400.Contact Information
Primary practice address
6901 W Edgerton Ave
Greenfield WI 53220-4420
Phone: (414) 421-8400
Fax: (414) 421-9557
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 7575 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209-019978 | Illinois |
Profile Details
| NPI number | 1881134054 |
|---|---|
| LBN Legal business name | Frederick, Melissa Brynn |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2017 |
| Last updated | Oct 28th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881134054 | NPPES |
| Wisconsin | MEDICAID | 100066382 |
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