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Nathan Wallenfang, NP
Nurse Practitioner in Marinette, Wisconsin
NPI 1386090512

Nathan Wallenfang is a Nurse Practitioner based in Chicago, WI. Nathan Wallenfang practices in Marinette, WI and has the professional credentials of NP. The NPI Number for Nathan Wallenfang is 1386090512 and holds a License No. 6862 (Wisconsin).

The current practice location address for Nathan Wallenfang is 4061 Old Peshtigo Rd, Marinette, WI and can be reached out via phone at 715-732-8100 and via fax at 715-732-8007.

Location: 4061 Old Peshtigo Rd, Marinette, WI, 60673-5044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386090512
Provider Name
Nathan Wallenfang
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
4061 Old Peshtigo Rd, Marinette, WI, 60673-5044
Phone Number
715-732-8100
Fax Number
715-732-8007
Provider Enumeration Date
05/06/2016
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100059198 05 WI
100159456 05 WI
institution
Provider Business Practice Location Address Details
Address
4061 Old Peshtigo Rd
City
Marinette
State
Wisconsin
Zip
54143-3887
Phone Number
715-732-8100
Fax Number
715-732-8007
person
Provider Business Mailing Address Details
Address
4061 Old Peshtigo Rd
City
Marinette
State
Wisconsin
Zip
54143-3887
Phone Number
715-732-8100
Fax Number
715-732-8007
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
6862 (Wisconsin)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
6862 (Wisconsin)
Definition
Definition to come...
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