Individual
ANGELA MARIE ELLENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-5000
Mailing address
310 BLAIR CT, WAUKESHA, WI 53188-4000
(262) 720-9406
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10342
WI
Other
Enumeration date
03/24/2018
Last updated
01/20/2021
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