Individual provider · Type 1 NPI

Ellen Marie Vander Galien

Family Nurse Practitioner · Beaver Dam, WI

NPI number 1003918517 Active

Practice location

148 Warren St
Beaver Dam, WI 53916-3061

Call (920) 887-7692 Map

Mailing address

650 N 1st St
Randolph, WI 53956-1006

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X895-033 (WI)

Family Nurse Practitioner: Definition to come...

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About NPI 1003918517

Ellen Marie Vander Galien's National Provider Identifier is 1003918517, issued on Sep 4, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Beaver Dam, WI. The record was last updated on Jul 8, 2007.