Individual provider · Type 1 NPI

Keelyn Marie Wallenfang, APNP

Nurse Practitioner · Appleton, WI

NPI number 1669198313 Active

Practice location

1818 N Meade St
Appleton, WI 54911-3454

Fax (920) 738-5369

Other practice locations

  • 2502 S Ashland Ave, Green Bay, WI 54304-5252 · (920) 496-4700

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X12184 (WI)
Nurse Practitioner Primary 363L00000X12184 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1669198313

Keelyn Marie Wallenfang, APNP's National Provider Identifier is 1669198313, issued on Oct 14, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Appleton, WI. The record was last updated on Dec 22, 2022.