Individual provider · Type 1 NPI

Stephanie Marie Ellman, ARNP

Family Nurse Practitioner · Green Bay, WI

NPI number 1770834459 Active

Practice location

2502 S Ashland Ave
Green Bay, WI 54304-5252

Call (920) 496-4700 Map

Mailing address

PO Box 19070
Green Bay, WI 54307-9070

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	210533-0 (MN)
Family Nurse Practitioner Primary	363LF0000X	6245-33 (WI)

Family Nurse Practitioner: Definition to come...

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About NPI 1770834459

Stephanie Marie Ellman, ARNP's National Provider Identifier is 1770834459, issued on Sep 21, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Green Bay, WI. The record was last updated on Jun 17, 2015.