Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NATHAN WALLENFANG, NP
ActiveNATHAN WALLENFANG, NP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in MARINETTE, Wisconsin. NPI 1386090512 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · MARINETTE, WI
Registration Details
- NPI Number
- 1386090512
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 6, 2016 (10.240069381903 yrs)
- Last Updated
- Jan 16, 2026
- Licenses
-
6862 (WI)6862 (WI)209-020256 (IL)
Practice Information
- Address
-
4061 OLD PESHTIGO RDMARINETTE, WI, 541433887Browse WI providers · Browse ZIP 54143
- Phone
- 7157328100
- Fax
- 7157328007
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Additional Specialty
- Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in MARINETTE, WI
| Name | Credential | NPI |
|---|---|---|
| HEATHER R FOCHESATO | APNP | 1821482795 |
| JENNIFER LEIGH KRAUSE | APNP | 1750834057 |
| MEGHAN M RUSSELL | DNP, FNP-BC | 1538698618 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.