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Desiree A Mengo, NP
Nurse Practitioner in Burlington, Wisconsin
NPI 1447791363

Desiree A Mengo is a Nurse Practitioner based in Burlington, WI. Desiree A Mengo practices in Burlington, WI and has the professional credentials of NP. The NPI Number for Desiree A Mengo is 1447791363 and holds a License No. 7584-33 (Wisconsin).

The current practice location address for Desiree A Mengo is 248 Mchenry St, Burlington, WI and can be reached out via phone at 262-767-8000 and via fax at 262-767-8190.

Location: 248 Mchenry St, Burlington, WI, 53105-1828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447791363
Provider Name
Desiree A Mengo
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
248 Mchenry St, Burlington, WI, 53105-1828
Phone Number
262-767-8000
Fax Number
262-767-8190
Provider Enumeration Date
03/10/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10006568 05 WI
institution
Provider Business Practice Location Address Details
Address
248 Mchenry St
City
Burlington
State
Wisconsin
Zip
53105
Phone Number
262-767-8000
Fax Number
262-767-8190
person
Provider Business Mailing Address Details
Address
248 Mchenry St
City
Burlington
State
Wisconsin
Zip
53105
Phone Number
262-767-8000
Fax Number
262-767-8190
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
7584-33 (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
Family
Taxonomy
363LF0000X
License No.
7584-33 (Wisconsin)
Definition
Definition to come...
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