ELLEN JEAN ETTLIE

JANESVILLE, WI
NPI1679128771
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WI  9343-33)
Enumeration Date2019-08-06
Last Update Date2020-11-11
Business Address
ELLEN JEAN ETTLIE APNP
3200 E RACINE ST
JANESVILLE, WI 53546-2343
Phone number: 608-371-8000
Mailing Address
ELLEN JEAN ETTLIE APNP
1808 W BELTLINE HWY
MADISON, WI 53713-2334
Phone number: 608-250-1497
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