Malissa R Wightman, RN, APNP

NPI #1063631083 in Beloit, Wisconsin

Provider Information

NPI Number
1063631083
Entity Type
Individual
Name
Malissa R Wightman, RN, APNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Pediatrics
Credential
RN, APNP
Enumeration Date
Apr 25, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2825 PRAIRIE AVE
City
Beloit
ZIP Code
53511-1844
Phone
(608) 363-5500

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - PediatricsPediatrics

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