Individual
MRS. NANCY ELLEN ELLINGSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5344 ORCHARD LN, GREENDALE, WI 53129-2567
(414) 640-9820
Mailing address
5344 ORCHARD LN, GREENDALE, WI 53129-2567
(414) 640-9820
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38292100
—
WI
Enumeration date
02/11/2007
Last updated
07/09/2007
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