Ellen Luciel Eddleman in Manitowoc - Nurse Practitioner
Ellen Luciel Eddleman - NPI 1407029036
Ellen Luciel Eddleman is a Nurse Practitioner in Manitowoc, Wisconsin. Ellen Luciel Eddleman practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Ellen Luciel Eddleman is 1407029036. The last update date is 2008-04-03.
Ellen Luciel Eddleman's current location address is 1100 S 30th St, Manitowoc, Wisconsin. You can contact this provider via phone number 9206841332 and fax number 9206843651. The mailing address for Ellen Luciel Eddleman is 1100 S 30th St, Manitowoc, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen Luciel Eddleman |
|---|---|
| Address | 1100 S 30th St, Manitowoc, Wisconsin |
| Phone Number | 9206841332 |
| Fax Number | 9206843651 |
| Sole Proprietor | N |
| Credentials | APNP |
NPI Number Detail
| NPI Number | 1407029036 |
|---|---|
| Provider Enumeration Date | 2008-04-03 |
| Last Updated Date | 2008-04-03 |
Provider Mailing Address Detail
| Address | 1100 S 30th St |
|---|---|
| City | Manitowoc |
| State | Wisconsin (WI) |
| Post Code | 542205594 |
| Phone Number | 9206841332 |
| Fax Number | 9206843651 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 3162-033 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the Ellen Luciel Eddleman's unique identification number?
The Ellen Luciel Eddleman has been assigned the NPI (National Provider Identifier) Number 1407029036 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Ellen Luciel Eddleman is geographically located?
The Ellen Luciel Eddleman is physically situated at the following location: 1100 S 30Th St, Manitowoc, WI, 542205594.
What is Ellen Luciel Eddleman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ellen Luciel Eddleman's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
When did the Ellen Luciel Eddleman receive its 1407029036?
The Ellen Luciel Eddleman was issued its 1407029036 on 2008-04-03, which is the date when the organization was assigned this unique identifier.
When was the information related to Ellen Luciel Eddleman most recently updated or refreshed?
The details pertaining to the Ellen Luciel Eddleman, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-03.