Malissa R Wightman

RN, APNP | Nurse Practitioner - Pediatrics

2825 Prairie Ave, Beloit
  Wisconsin, 53511-1844
608-363-5500
May or may not accept Medicare Nurse Anesthetist in Beloit, Wisconsin.
Malissa R Wightman is a Beloit, Wisconsin based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Malissa R Wightman is 1069 for Pediatrics in Wisconsin. Her current practice location is 2825 Prairie Ave, Beloit. Patients can reach her at 608-363-5500. Malissa R Wightman is RN, APNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1063631083.
Malissa R Wightman specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Malissa R Wightman speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Malissa R Wightman
Specialization: Pediatrics Nurse Practitioner (PNP)
Gender:Female
Credentials: RN, APNP
Practice Address:2825 Prairie Ave, Beloit,
Wisconsin, 53511-1844
Phone:608-363-5500
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1063631083
NPI Enumeration Date: 25 Apr, 2007
NPI Last Update On: 08 Jul, 2007

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Malissa R Wightman are as mentioned below.
License NumberSpecializationStateStatus
1069Pediatrics WisconsinPrimary
113626Pediatrics WisconsinSecondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Malissa R Wightman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
43880300MedicaidWisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Malissa R Wightman
2825 Prairie Ave,
Beloit, Wisconsin
Zip: 53511-1844
Phone Number: 608-363-5500
Patients can reach Malissa R Wightman at 2825 Prairie Ave, Beloit, Wisconsin or can call to book an appointment on 608-363-5500.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.