Individual
BROOKE INEZ ELLINGSON EISCHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
408
MN
367A00000X
Advanced Practice Midwife
9511-33
WI
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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