Individual
ANDREA LYNN EBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APNP
Contact information
Practice address
W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051-3518
(262) 251-1000
Mailing address
W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051-3518
(262) 251-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
157238-30
WI
363LF0000X
Family Nurse Practitioner
Primary
6137
WI
Other
Enumeration date
11/21/2014
Last updated
11/25/2014
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