Ellen Luciel Eddleman, APNP

Nurse Practitioner · Manitowoc, WI

Individual Active NPI

NPI number 1407029036

Practice location

1100 S 30TH St
Manitowoc, WI 54220-5594
Phone
(920) 684-1332
Fax
(920) 684-3651

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NPI record

NPI
1407029036
Entity type
Individual (Type 1)
Enumeration date
April 3, 2008
Last updated
April 3, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 3162-033 WI

Mailing address

1613 Carmen Ave
Sheboygan, WI 53081-7525
Phone
(920) 451-6858

About Ellen Eddleman

Ellen Luciel Eddleman, APNP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1100 S 30TH St, Manitowoc, WI 54220-5594. The NPI number 1407029036 was assigned on April 3, 2008 and the record was last updated on April 3, 2008.

Ellen Eddleman lists a license in the registry: #3162-033 (WI) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ellen Luciel Eddleman, APNP?

The NPI number is 1407029036.

What is the phone number of Ellen Eddleman?

The phone number listed for the practice location is (920) 684-1332.

Where is Ellen Eddleman located?

1100 S 30TH St, Manitowoc, WI 54220-5594.

What is the taxonomy code for Ellen Eddleman?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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