Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Malissa R Wightman, RN, APNP

Individual provider Pediatric Nurse Practitioner · NPI 1063631083

Malissa R Wightman, RN, APNP is a Pediatric Nurse Practitioner in Beloit, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

2825 Prairie Ave
Beloit, WI 53511-1844
Phone: (608) 363-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 1069 (WI)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 113626 (WI)

Record details

NPI number1063631083
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , APNP
Sole proprietorNo
NPI enumeratedApril 25, 2007
Last updated in NPPESJuly 8, 2007

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