DR. RYAN B MARENDIUK DNP
NPI 1093965816
Nurse Practitioner - Psychiatric/Mental Health in Fond Du Lac, WI

Q: What is Ryan Marendiuk's NPI number?

The NPI number for Ryan Marendiuk is 1093965816. It was assigned to this individual provider in the NPPES registry on September 29, 2008.

Q: What is Ryan Marendiuk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Marendiuk was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 29, 2008

430 E DIVISION ST, FOND DU LAC, WI 54935(920) 926-4200(920) 926-8933 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Ryan B Marendiuk Dnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RYAN B MARENDIUK DNP (NPI 1093965816) is an individual psychiatric/mental health provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (13689-33) and active in the NPI registry since September 2008. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1093965816

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameDR. RYAN B MARENDIUKCredential: DNP

Location Address430 E DIVISION STFond Du Lac, WI 54935-4560

Mailing AddressSsm Health Fdl Regional Clinic, 1808 W Beltline HwyMadison, WI 53713-2334 · (608) 250-1593

Phone(920) 926-4200

Fax(920) 926-8933

Sole ProprietorNo

Enumeration DateSeptember 29, 2008

Last NPPES UpdateMay 22, 2023

NPPES CertifiedMay 11, 2023

✔ NPI 1093965816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WI · 13689-33

Also ListedRegistered Nurse · AdministratorTaxonomy 163WA2000X · License 48298 (HI)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 13689-33 (WI)

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 27171 (ID)

430 E DIVISION ST, Fond Du Lac, WI 54935

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Secondary Practice Locations 3

Location 13726 E Mullan AvePost Falls, ID 83854-9852 · Phone (208) 777-2489

Location 2845 Parkside StRipon, WI 54971-8505 · Phone (920) 926-4200 · Fax (920) 926-8933

Location 3620 W Brown StWaupun, WI 53963-1702 · Phone (920) 324-7600 · Fax (920) 324-8459

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLAIRE ELIZABETH KRIZMAN

Counselor (Mental Health)