Individual
MELISSA KOENGETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
3430 E MAIN ST, MERRILL, WI 54452-9001
(715) 804-7500
Mailing address
3430 E MAIN ST, MERRILL, WI 54452-9001
(715) 804-7500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6864-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90503-30
RN LICENSE
WI
Enumeration date
03/11/2016
Last updated
03/11/2016
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