Mellick, Ellen M

Mellick, Ellen M is an individual health care provider with primary practice located at 212 11Th St S , La Crosse WI 54601-4116. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mellick, Ellen M can be contacted via phone (608) 791-9555.

Contact Information

Primary practice address
212 11Th St S La Crosse WI 54601-4116
Fax: (608) 791-9432
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1395-033 Wisconsin

Profile Details

NPI number 1861476178
LBN Legal business name Mellick, Ellen M
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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