Keelyn Marie Wallenfang, APNP

NPI #1669198313 in Appleton, Wisconsin

Provider Information

NPI Number: 1669198313
Entity Type: Individual
Name: Keelyn Marie Wallenfang, APNP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: APNP
Enumeration Date: Oct 14, 2022
Last Updated: Dec 22, 2022

Practice Location

Address: 1818 N MEADE ST
City: Appleton
State: Wisconsin
ZIP Code: 54911-3454
Phone: (920) 731-8900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Nurse Practitioner	363L00000X	Primary

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