Individual
MISS MEHGAN L ULLSPERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APNP, AGNP-C
Contact information
Practice address
3925 N GATEWAY DR, APPLETON, WI 54913-7863
(920) 830-6877
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 830-5900
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17450
WI
363LG0600X
Gerontology Nurse Practitioner
17450
WI
363LP2300X
Primary Care Nurse Practitioner
17450-33
WI
Other
Enumeration date
12/09/2024
Last updated
01/08/2026
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