JORDAN E ELLIS

LA CROSSE, WI
NPI1720534696
Former NameJORDAN E TULLY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WI  191295)
Enumeration Date2016-08-30
Last Update Date2017-10-18
Business Address
JORDAN E ELLIS CRNA
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
Mailing Address
JORDAN E ELLIS CRNA
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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