MEDICARE: DANA MEHRING FNP-C

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	363LF0000X	Family Nurse Practitioner	9292-33	WI

General Provider Information

NPI Number	:	1336709468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA MEHRING FNP-C

Provider Business Mailing Address
First Line	:	6530 SHERIDAN RD STE 7
Second Line	:
City	:	KENOSHA
State	:	WI
Zip	:	53143-5063
Country	:	US
Telephone Number	:	262-455-7047
Fax Number	:	262-218-4442

Provider Business Practice Location Address
First Line	:	6530 SHERIDAN RD STE 7
Second Line	:
City	:	KENOSHA
State	:	WI
Zip	:	53143-5063
Country	:	US
Telephone Number	:	262-458-3152
Fax Number	:	262-458-3152

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

Provider Enumeration Date	:	06/20/2019
Last Update Date	:	02/20/2025

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Directions to “ DANA MEHRING FNP-C” Practice Location

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