Individual
MRS. ELLEN LUCIEL EDDLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1100 S 30TH ST, MANITOWOC, WI 54220-5594
(920) 684-1332
(920) 684-3651
Mailing address
1613 CARMEN AVE, SHEBOYGAN, WI 53081-7525
(920) 451-6858
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3162-033
WI
Other
Enumeration date
04/03/2008
Last updated
04/03/2008
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