Individual provider · Type 1 NPI
Ellen Luciel Eddleman, APNP
Nurse Practitioner · Manitowoc, WI
Practice location
1100 S 30th St
Manitowoc, WI 54220-5594
Fax (920) 684-3651
Mailing address
1613 Carmen Ave
Sheboygan, WI 53081-7525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 3162-033 (WI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
3 other providers at this address
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About NPI 1407029036
Ellen Luciel Eddleman, APNP's National Provider Identifier is 1407029036, issued on Apr 3, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Manitowoc, WI. The record was last updated on Apr 3, 2008.