Individual
ELLEN LOUISE OLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
130 2ND STREET, THEDA CLARK MEDICAL PLAZA, NEENAH, WI 54956-2883
(920) 831-5050
(920) 729-2104
Mailing address
604 32ND ST, ROCK ISLAND, IL 61201-2029
(630) 217-8686
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209019307
IL
363LF0000X
Family Nurse Practitioner
9062
WI
363LF0000X
Family Nurse Practitioner
RN270559
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209019307
—
IL
Enumeration date
07/17/2017
Last updated
07/11/2023
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