Individual provider · Type 1 NPI
Melanie Amanda Ellis, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Green Lake, WI
NPI number
1376414466
Active
Practice location
PO Box 97
Green Lake, WI 54941-0097
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 17426-33 (WI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Green Lake
About NPI 1376414466
Melanie Amanda Ellis, PMHNP-BC's National Provider Identifier is 1376414466, issued on Sep 13, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Green Lake, WI. The record was last updated on Sep 13, 2025.