Individual
ELLEN MARIE REYERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
600 HIGHLAND AVE, K4/739 CSC 7375, MADISON, WI 53792-0001
(608) 263-6420
(608) 263-0440
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5368-33
WI
Other
Enumeration date
08/05/2006
Last updated
09/20/2013
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