STEPHEN ELLIS

MILWAUKEE, WI
NPI1174397194
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WI  15670-33)
Additional Taxonomies163WE0003X Registered Nurse, Emergency
(Licence: WI  164543-30)
Enumeration Date2023-11-09
Last Update Date2024-11-12
Business Address
STEPHEN ELLIS APNP
3070 N 51ST ST FL 6
MILWAUKEE, WI 53210-1645
Phone number: 414-445-6520
Mailing Address
STEPHEN ELLIS APNP
157 N 123RD ST
WAUWATOSA, WI 53226-3809
Phone number: 262-271-6371