Mary A Mellenthin, APNP
NPI #1164890596 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1164890596
- Entity Type
- Individual
- Name
- Mary A Mellenthin, APNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- APNP
- Enumeration Date
- Sep 2, 2015
- Last Updated
- Dec 7, 2020
Practice Location
- Address
- 912 S HICKORY ST
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-5530
- Phone
- (920) 907-3922
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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