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

Melissa Dettman

Individual provider Registered Nurse · NPI 1740130624

Melissa Dettman is a Registered Nurse in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2026.

Licensed in
WI
In the registry since
2026

Practice location Address checks out

4904 Eastpark Blvd
Madison, WI 53718-2007
Phone: (608) 240-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 235685-30 (WI)

Record details

NPI number1740130624
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 30, 2026
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026
Mailing addressW6572 Navan Rd, Watertown, WI 53094-9111

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