Individual
MS. ELLEN MARIA FOLLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-0535
(262) 245-2248
Mailing address
29624 NETWORK PL, CHICAGO, IL 60673-1296
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209020163
IL
Other
Enumeration date
11/11/2019
Last updated
07/29/2026
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