Malissa R Wightman
RN, APNP | Nurse Practitioner - Pediatrics
2825 Prairie Ave, Beloit
Wisconsin, 53511-1844
608-363-5500
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 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:
Patients can read all the reviews posted for Malissa R Wightman below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Malissa R Wightman. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.