Individual
ELLAYNA DZENZEOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP, FNP-C
Contact information
Practice address
3501 E RAMSEY AVE, CUDAHY, WI 53110-3009
(414) 769-6600
Mailing address
400 W RIVER WOODS PKWY, GLENDALE, WI 53212-1060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15538-33
WI
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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