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

Mary A Mellenthin, APNP

Individual provider Family Nurse Practitioner · NPI 1164890596

Mary A Mellenthin, APNP is a Family Nurse Practitioner in Fond Du Lac, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.

Licensed in
WI
In the registry since
2015

Practice location Address checks out

912 S Hickory St
Fond Du Lac, WI 54935-5530
Phone: (920) 907-3922
Fax: (920) 929-7392
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 6501-33 (WI)

Record details

NPI number1164890596
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedSeptember 2, 2015
Last updated in NPPESDecember 7, 2020
Certification dateDecember 7, 2020

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