Individual
MRS. TRACI ANNA ELISZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
Mailing address
1808 W BELTLINE HWY, MADISON, WI 53713-2334
(608) 250-1497
(608) 250-1384
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8496-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851817050
—
WI
Enumeration date
08/18/2017
Last updated
11/11/2020
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