Individual
CAITLIN EBBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W5541 COUNTY ROAD A, BLACK CREEK, WI 54106-8421
(920) 585-1151
Mailing address
W5541 COUNTY ROAD A, BLACK CREEK, WI 54106-8421
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
224296
WI
Other
Enumeration date
11/11/2017
Last updated
01/15/2019
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