Individual
MOLLY E MEHLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2845 GREENBRIER RD, #480, GREEN BAY, WI 54311
(920) 288-8400
Mailing address
2064 E BARABOO CR, DEPERE, WI 54115-6519
(920) 338-9617
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2121
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43984600
—
WI
Enumeration date
10/04/2006
Last updated
11/23/2021
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