Individual provider · Type 1 NPI
Andrea K. Mehlbaum
Family Nurse Practitioner · Rockford, IL
NPI number
1417483322
Active
Practice location
1340 Charles St, Suite 200
Rockford, IL 61104-2200
Mailing address
PO Box 78866
Milwaukee, WI 53278-8866
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 041348454 (IL) |
| Family Nurse Practitioner Primary | 363LF0000X | 209016159 (IL) |
Family Nurse Practitioner: Definition to come...
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Other family nurse practitioner providers in Rockford
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- Danielle Solares, DNP, FNP-CFamily Nurse Practitioner Rockford, IL NPI 1013509660
About NPI 1417483322
Andrea K. Mehlbaum's National Provider Identifier is 1417483322, issued on May 11, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rockford, IL. The record was last updated on Mar 2, 2021.