Individual
MRS. HAYLEE AMBER ELIASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7003 BRAUN RD, MOUNT PLEASANT, WI 53403-9743
(262) 206-7018
Mailing address
6211 DURAND AVE STE 100, MOUNT PLEASANT, WI 53406-4956
(262) 898-9000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9953-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100140735
—
WI
Enumeration date
03/12/2020
Last updated
06/23/2023
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