Individual
ELYSE MARIE ENGEBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
140B SCHOOL CREEK TRL, LUXEMBURG, WI 54217-1095
(920) 845-1370
(920) 845-1379
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6533-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F07151158
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
Enumeration date
08/06/2015
Last updated
08/02/2023
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