Ellen M Ott is a Pediatrics in Onalaska, Wisconsin. Ellen M Ott practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Ellen M Ott is 1710981154. The last update date is 2018-06-06.
Ellen M Ott's current location address is 3111 Gundersen Drive, Onalaska, Wisconsin. You can contact this provider via phone number 6087968630. The mailing address for Ellen M Ott is 3111 Gundersen Drive, Onalaska, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen M Ott |
|---|---|
| Address | 3111 Gundersen Drive, Onalaska, Wisconsin |
| Phone Number | 6087968630 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PNP |
NPI Number Detail
| NPI Number | 1710981154 |
|---|---|
| Provider Enumeration Date | 2005-06-13 |
| Last Updated Date | 2018-06-06 |
Provider Mailing Address Detail
| Address | 3111 Gundersen Drive |
|---|---|
| City | Onalaska |
| State | Wisconsin (WI) |
| Post Code | 546500 |
| Phone Number | 6087968630 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 1141 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43865500 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Ellen M Ott by the Centers for Medicare & Medicaid Services?
The Ellen M Ott has been assigned the NPI (National Provider Identifier) 1710981154 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Ellen M Ott's facilities are geographically located?
The facilities of Ellen M Ott are physically situated at the following location: 3111 Gundersen Drive, Onalaska, WI, 546500.
What is the Ellen M Ott's area of specialization and corresponding taxonomy classification?
The Ellen M Ott's specialty field is Pediatrics, and it falls under the taxonomy code 363Lp0200X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710981154 to Ellen M Ott?
The Centers for Medicare & Medicaid Services originally issued the 1710981154 to Ellen M Ott on 2005-06-13.
As of what date was the information regarding Ellen M Ott, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ellen M Ott, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-06-06.