MEDICARE: KATHERINE MEINE CNM, PMHNP

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	367A00000X	Advanced Practice Midwife	148839-32	WI
2	163W00000X	Registered Nurse	170811	WI
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	4003	WI

General Provider Information

NPI Number	:	1902136047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE MEINE CNM, PMHNP

Provider Business Mailing Address
First Line	:	600 S MAIN ST STE 105
Second Line	:
City	:	OSHKOSH
State	:	WI
Zip	:	54902-6074
Country	:	US
Telephone Number	:	920-981-8610
Fax Number	:	920-567-3971

Provider Business Practice Location Address
First Line	:	600 S MAIN ST STE 105
Second Line	:
City	:	OSHKOSH
State	:	WI
Zip	:	54902-6074
Country	:	US
Telephone Number	:	920-981-8610
Fax Number	:	920-567-3971

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2010
Last Update Date	:	05/27/2026

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