Individual
ELLEN M HAMBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1506 S ONEIDA ST, APPLETON, WI 54915-1396
(920) 738-2611
Mailing address
W2447 WESTERN DR, FREEDOM, WI 54913-6949
(507) 272-0864
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 146035-1
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
05
—
ENROLLED
—
SD
05
—
ENROLLED
—
WI
01
—
P00940117
RAILROAD MEDICARE
MN
Enumeration date
03/08/2011
Last updated
10/26/2022
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