Ellen Marie Bergendahl

Pharmacist · Baraboo, WI

Individual Active NPI

NPI number 1457733669

Practice location

1700 Tuttle St
Baraboo, WI 53913-3319
Phone
(608) 355-3800

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NPI record

NPI
1457733669
Entity type
Individual (Type 1)
Enumeration date
June 24, 2015
Last updated
November 15, 2024
Certified
November 15, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 17922-40 WI

About Ellen Bergendahl

Ellen Marie Bergendahl is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1700 Tuttle St, Baraboo, WI 53913-3319. The NPI number 1457733669 was assigned on June 24, 2015 and the record was last updated on November 15, 2024.

Ellen Bergendahl lists a license in the registry: #17922-40 (WI) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ellen Marie Bergendahl?

The NPI number is 1457733669.

What is the phone number of Ellen Bergendahl?

The phone number listed for the practice location is (608) 355-3800.

Where is Ellen Bergendahl located?

1700 Tuttle St, Baraboo, WI 53913-3319.

What is the taxonomy code for Ellen Bergendahl?

The primary taxonomy code is 183500000X – Pharmacist.

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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