Individual provider · Type 1 NPI

Nathan Wallenfang, NP

Psychiatric/Mental Health Nurse Practitioner · Marinette, WI

NPI number 1386090512 Active

Practice location

4061 Old Peshtigo Rd
Marinette, WI 54143-3887

Fax (715) 732-8007

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Other practice locations

  • 5000 Memorial Dr, Two Rivers, WI 54241-3900 · (920) 794-5000

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X6862 (WI)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X6862 (WI)
Nurse Practitioner 363L00000X209-020256 (IL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

46 other providers at this address

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About NPI 1386090512

Nathan Wallenfang, NP's National Provider Identifier is 1386090512, issued on May 6, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Marinette, WI. The record was last updated on Jan 16, 2026.