Melody E Martinez
Melody E Martinez is a Nurse Practitioner in Fond Du Lac, Wisconsin. Qualified in 2024, 2 years ago. Practices with Agnesian Healthcare Inc, a 390-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 2
- Licensed in
- WI
- In the registry since
- 2024
Practice location Address checks out
430 E Division StFond Du Lac, WI 54935-4560
Phone: (920) 926-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence 15879 (WI) |
|---|
Record details
| NPI number | 1639905557 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 9, 2024 |
| Last updated in NPPES | September 9, 2024 |
| Certification date | September 9, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Agnesian Healthcare Inc — 390 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |