Individual provider · Type 1 NPI
Ellen Maren Braddock, RN
Community Health Registered Nurse · Washburn, WI
NPI number
1356037907
Active
Practice location
126 W Bayfield St Ste 2
Washburn, WI 54891-1182
Mailing address
PO Box 92
Washburn, WI 54891-0092
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | DKX-2P4 (WI) |
Community Health Registered Nurse: Definition to come...
About NPI 1356037907
Ellen Maren Braddock, RN's National Provider Identifier is 1356037907, issued on Apr 17, 2023. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Washburn, WI. The record was last updated on Apr 17, 2023.