MEDICARE: MEECIE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse

General Provider Information

NPI Number	:	1851249833
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEECIE LLC

Provider Business Mailing Address
First Line	:	1936 N 37TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53208-1801
Country	:	US
Telephone Number	:	414-208-3428
Fax Number	:

Provider Business Practice Location Address
First Line	:	1936 N 37TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53208-1801
Country	:	US
Telephone Number	:	414-208-3428
Fax Number	:

Authorized Official
Title or Position	:	LPN
Name	:	COURTNEY MELINYK HARTZOG
Credential	:	LPN
Telephone Number	:	414-208-3428

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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