Melissa Dengel

Individual provider Active NPI General Practice Registered Nurse · Merrill, WI

NPI 1124647417 · NPPES record last updated Apr 16, 2020

Key facts

NPI
1124647417
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Registered Nurse 163WG0000X
License
125335 (WI)
Practice address
1102 S Center Ave
Merrill, WI 54452-8203
Phone
(715) 539-9700
NPI assigned
Apr 16, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
125335WIMDGeneral Practice Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 125335 WI Yes

Addresses

Primary practice location

1102 S Center Ave
Merrill, WI 54452-8203

Mailing address

1102 S Center Ave
Merrill, WI 54452-8203
Phone (715) 539-9700

Other providers in Merrill, WI

All providers in Merrill, WI · General Practice Registered Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.