Individual
ELLISA WYRWICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
RN
Contact information
Practice address
1363 CEAPE AVE, OSHKOSH, WI 54901-5480
(920) 264-8433
Mailing address
1363 CEAPE AVE, OSHKOSH, WI 54901-5480
(920) 264-8433
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
1124100-30
WI
Other
Enumeration date
12/19/2025
Last updated
12/19/2025
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