Most Relevant Information
Provider Data
| NPI Number: | 1003580044 |
| Provider Name: | LINDSEY MARIE MENA FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 10902-33 |
Most Important Dates
| Enumeration Date: | 08/03/2021 |
| Last Updated: | 08/03/2021 |
Provider Practice Location
3601 S CHICAGO AVE
SOUTH MILWAUKEE
WI
531723708
Practice Location Phone/Fax
| Phone: | 4147644100 |
| Fax: |
Provider Mailing Location
112 HOLLY LN
SOUTH MILWAUKEE
WI
531721019
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |