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NPI 1497108518

NPI 1497108518 : MELISSA LINDEN FNP-C : WAUSAU, WI

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General NPI Number Information
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    NPI Number           |    1497108518
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    Entity Type          |    Individual 
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    Provider Name        |    MELISSA LINDEN FNP-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/14/2016
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    Last Update Date     |    07/15/2025
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Provider Practice Location Address
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    Address Line         |    2720 PLAZA DR STE 1300 
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    City                 |    WAUSAU
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    State                |    WI
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    Zip                  |    54401-4165
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    Country              |    US
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    Telephone            |    715-581-4842
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    Fax                  |    715-847-2631
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Provider Business Mailing Address
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    Address Line         |    2720 PLAZA DR STE 1300 
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    City                 |    WAUSAU
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    State                |    WI
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    Zip                  |    54401-4165
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    Country              |    US
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    Telephone            |    715-581-4842
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    175893-30
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    License Number State |    WI
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    7061-33
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    License Number State |    WI
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