ELLEN M MELLICK

LA CROSSE, WI
NPI1861476178
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WI  1395-033)
Enumeration Date2005-11-30
Last Update Date2007-07-08
Business Address
-- ELLEN M MELLICK PNP
212 11TH ST S
LA CROSSE, WI 54601-4116
Phone number: 608-791-9555
Mailing Address
-- ELLEN M MELLICK PNP
212 11TH ST S
LA CROSSE, WI 54601-4116
Phone number: 608-791-9555