Individual
ELLEN PITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2809 N. PARK DRIVE LANE, APPLETON, WI 54911
(920) 380-4999
Mailing address
2809 N. PARK DRIVE LANE, APPLETON, WI 54911
(920) 996-3298
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
731
WI
Other
Enumeration date
01/03/2007
Last updated
03/25/2010
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