MICHELLE MANKE (NPI# 1790069599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790069599 |
| Entity Type | Individual |
| Full Name | MICHELLE MANKE |
| Practice Address |
N9168 Cherry Meadow Dr Appleton WI 54915-4681 |
| Mailing Address |
9900 Bren Rd E Mail Route Mn 008-b213 Minnetonka MN 55343-9664 |
| Practice Telephone | 9202845784 |
| Mailing Telephone | 9205741255 |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
147545-30 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1790069599 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 491 S Washburn St, Oshkosh, WI 549046733 | 9207491171 | 9207491172 |
| Street Address |
N9168 CHERRY MEADOW DR |
| City | APPLETON |
| State | WI |
| Zip Code | 54915-4681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
| 1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| Find all providers in zip 54915 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710306196 | Erin Lynn Dercks | Nurse Practitioner | 820 W Association Dr, Appleton, WI 54914-1495 | 2014-04-14 |
| 1093018699 | Marcia Ann Smith | Nurse Practitioner | 4435 W Lawrence St, Appleton, WI 54914-4065 | 2010-12-21 |
| 1316989056 | Kay L Conradt | Nurse Practitioner | 2701 N Oneida St, Fox Valley Nephrology Partners Sc, Appleton, WI 54911 | 2006-06-10 |
| 1902458177 | Kelsey Gregory | Nurse Practitioner | 1506 S Oneida St, Appleton, WI 54915-1305 | 2019-07-09 |
| 1073022356 | Megan Elizabeth Galske | Nurse Practitioner | 820 E Grant St, Appleton, WI 54911-3483 | 2017-09-29 |
| 1982004420 | Amber Lee Carlsen | Nurse Practitioner | 2500 E Capitol Dr, Suite 700, Appleton, WI 54911-8735 | 2014-09-03 |
| 1417373952 | Jodi L Beggs | Nurse Practitioner | 1501 S Madison St, Surgery Department, Appleton, WI 54915-1846 | 2014-03-07 |
| 1619300027 | Trang Vo | Nurse Practitioner | 1818 N Meade St, Appleton, WI 54911-3454 | 2013-08-21 |
| 1619318714 | Deborah Ann Bartmann | Nurse Practitioner | 1501 S Madison St, Appleton, WI 54915-1846 | 2013-07-17 |
| 1962700286 | Sara M. Calmes | Nurse Practitioner | 1611 S Madison St, Appleton, WI 54915-1844 | 2011-03-10 |
| Find all providers in APPLETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.