Individual
ELLIE E MERCADO-SCHOESSOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 445-7226
(920) 445-7229
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
(920) 445-7229
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7070-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780137737
—
WI
Enumeration date
07/26/2016
Last updated
08/29/2024
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