Ellen M Mellick in La Crosse - Psychiatric/mental Health

Ellen M Mellick - NPI 1861476178

Ellen M Mellick is a Psychiatric/mental Health in La Crosse, Wisconsin. Ellen M Mellick practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Ellen M Mellick is 1861476178. The last update date is 2007-07-08.

Ellen M Mellick's current location address is 212 11th St S, La Crosse, Wisconsin. You can contact this provider via phone number 6087919555 and fax number 6087919432. The mailing address for Ellen M Mellick is 212 11th St S, La Crosse, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Ellen M Mellick
Address 212 11th St S, La Crosse, Wisconsin
Phone Number 6087919555
Fax Number 6087919432
Sole Proprietor X
Credentials PNP

NPI Number Detail

NPI Number 1861476178
Provider Enumeration Date 2005-11-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 212 11th St S
City La Crosse
State Wisconsin (WI)
Post Code 546014116
Phone Number 6087919555
Fax Number 6087919432

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 363Lp0808X
Licence No 1395-033
Definition:
An advanced practice registered nurse expert in providing psychiatric and mental healthcare services.

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FAQs about Ellen M Mellick

What is the unique 10-digit identification code assigned to Ellen M Mellick by the Centers for Medicare & Medicaid Services?

The Ellen M Mellick has been issued the NPI (National Provider Identifier) 1861476178, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Ellen M Mellick is physically located?

The Ellen M Mellick is situated at the following address: 212 11Th St S, La Crosse, WI 546014116.

What is Ellen M Mellick's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Ellen M Mellick's specialized field of practice is Psychiatric/mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 363Lp0808X.

On what date did Ellen M Mellick receive its 1861476178 assignment from the Centers for Medicare & Medicaid Services?

The Ellen M Mellick was assigned its 1861476178 on 2005-11-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Ellen M Mellick last refreshed?

The information related to the Ellen M Mellick, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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