Individual
LEANN ELLINGSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
W 725 CTH D, BIRCHWOOD, WI 54817
(763) 607-3484
Mailing address
PO BOX 326, BIRCHWOOD, WI 54817-0326
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
188030-30
WI
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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