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Individual

ELLEN K. RESNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-3388
Mailing address
3936 WOODLAND RD, GREEN BAY, WI 54313-1206

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
13290
WI
367500000X
Certified Registered Nurse Anesthetist
209-000871
IL
367500000X
Certified Registered Nurse Anesthetist
RN2356046
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100222241
WI
01
209-000871
IL STATE LIC
IL
01
430055241
RAILROAD MEDICARE PIN
IL
Enumeration date
03/22/2007
Last updated
03/13/2025
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