Individual
STEPHEN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
3070 N 51ST ST FL 6, MILWAUKEE, WI 53210-1645
(414) 465-6520
Mailing address
3070 N 51ST ST FL 6, MILWAUKEE, WI 53210-1645
(414) 465-6520
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
164543-30
WI
363LF0000X
Family Nurse Practitioner
Primary
15670-33
WI
Other
Enumeration date
11/09/2023
Last updated
05/07/2025
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