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.
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 Number
Specialization
State
Status
1069
Pediatrics
Wisconsin
Primary
113626
Pediatrics
Wisconsin
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Malissa R Wightman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
43880300
Medicaid
Wisconsin
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.