Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel D Medlock, APNP

Individual provider Nurse Practitioner · NPI 1639439433

Daniel D Medlock, APNP is a Nurse Practitioner in Racine, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2012.

Licensed in
WI
In the registry since
2012
Specialties on file
2

Practice location Address checks out

1320 Wisconsin Ave
Racine, WI 53403-1978
Phone: (262) 687-2956
Fax: (262) 687-2014
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 9750 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 9750 (WI)

Record details

NPI number1639439433
Entity typeIndividual (Type 1)
GenderMale
Credentials APNP
Sole proprietorNo
NPI enumeratedMay 25, 2012
Last updated in NPPESJanuary 24, 2022
Certification dateJanuary 24, 2022
Mailing address1320 Wisconsin Ave, Racine, WI 53403-1978

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