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Contact Information

MELANIE M BLOEDORN HANSEN, APNP
430 E DIVISION ST
FOND DU LAC, WI54935-4560
 Phone: 920-926-8340
 Fax: 262-687-8729
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MELANIE M BLOEDORN HANSEN · (Female)

NPI # 1326319732
Status Active
Credentials APNP
Entity Individual
Enumeration date 01/17/2012
Last updated 06/08/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 4734
Hospital affiliation(s)
  • ST AGNES HSPTL - (Acute Care)
    430 E DIVISON ST
    FOND DU LAC, WI 54935
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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