IndividualActive
Melody Martinez
NPI 1639905557 · Primary Care Nurse Practitioner · Fond Du Lac, WI
Provider details
- NPI number
- 1639905557
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 15879 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
430 E Division St
Fond Du Lac, WI 54935-4560
Phone: (920) 926-8200
Approximate (ZIP-level) locationGet directions
Mailing address
430 E Division St
Fond Du Lac, WI 54935-4560
Registry dates
- Enumerated
- 2024-09-09
- Last updated
- 2024-09-09
- Certified
- 2024-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.