Individual
ELLEN MAUREEN LATSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP RNC
Contact information
Practice address
2116 CRAIG RD, EAU CLAIRE, WI 54701-6149
(715) 858-4500
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R1692077
MN
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
521
WI
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
LAT104292845
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43835900
—
WI
Enumeration date
12/06/2007
Last updated
08/15/2011
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