Individual
BRENDA LEA ELLICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY STE 370, MILWAUKEE, WI 53215-3678
(414) 649-7900
(414) 649-7499
Mailing address
2801 W KINNICKINNIC RIVER PKWY STE 370, MILWAUKEE, WI 53215-3678
(414) 649-7900
(414) 649-7499
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13038-33
WI
Other
Enumeration date
08/04/2022
Last updated
11/30/2022
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