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Contact Information

DESIREE A MENGO, NP
248 MCHENRY ST
BURLINGTON, WI53105
 Phone: 262-767-8000
 Fax: 262-767-8190
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DESIREE A MENGO · (Female)

NPI # 1447791363
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 03/10/2017
Last updated 03/07/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 7584-33
  • WI Medicaid 10006568
Hospital affiliation(s)
  • AURORA MEMORIAL HSPTL BURLINGTON - (Acute Care)
    252 MCHENRY ST
    BURLINGTON, WI 53105
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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