MALISSA R WIGHTMAN RN, APNP
NPI 1063631083
Nurse Practitioner - Pediatrics in Beloit, WI

Active since April 25, 2007
2825 PRAIRIE AVE, BELOIT, WI 53511(608) 363-5500 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Malissa R Wightman Rn, Apnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALISSA R WIGHTMAN RN, APNP (NPI 1063631083) is an individual pediatrics provider in Beloit, Wisconsin, licensed in Wisconsin (1069) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1063631083
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMALISSA R WIGHTMANCredential: RN, APNP
Location Address2825 PRAIRIE AVEBeloit, WI 53511-1844
Mailing Address2825 Prairie AveBeloit, WI 53511-1844 · (608) 363-5500
Sole ProprietorNo
Enumeration DateApril 25, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1063631083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses Licensed in WI · 1069 Licensed in WI · 113626
2825 PRAIRIE AVE, Beloit, WI 53511

Other Identifiers 2

Medicaid43880300WI
Medicare UPINS68757

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2825 PRAIRIE AVE
BELOIT, WI 53511
Prosthetist
2825 PRAIRIE AVE
BELOIT, WI 53511
Obstetrics & Gynecology
2825 PRAIRIE AVE
BELOIT, WI 53511
Social Worker (Clinical)
2825 PRAIRIE AVE
BELOIT, WI 53511
Nurse Practitioner (Pediatrics)
2825 PRAIRIE AVE
BELOIT, WI 53511
Nurse Practitioner
2825 PRAIRIE AVE
BELOIT, WI 53511
Durable Medical Equipment & Medical Supplies
2825 PRAIRIE AVE
BELOIT, WI 53511
Occupational Therapist
2825 PRAIRIE AVE
BELOIT, WI 53511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Malissa Wightman's NPI number?

The NPI number for Malissa Wightman is 1063631083. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Malissa Wightman located?

Malissa Wightman practices at 2825 Prairie Ave, Beloit, WI 53511. The listed phone number is (608) 363-5500.

What is Malissa Wightman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Malissa Wightman was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.