Ellefson, Michele Dee

Ellefson, Michele Dee is an individual health care provider with primary practice located at 421 Camelot Dr , Fond Du Lac WI 54935-8335. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Ellefson, Michele Dee can be contacted via phone (920) 926-4939.

Contact Information

Primary practice address
421 Camelot Dr Fond Du Lac WI 54935-8335
Phone: (920) 926-4939
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 3696-33 Wisconsin
Nursing Service Providers / Registered Nurse 163W00000X 125406-030 Wisconsin

Profile Details

NPI number 1528209574
LBN Legal business name Ellefson, Michele Dee
Credentials DNP, APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2009
Last updated Oct 20th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528209574 NPPES
Wisconsin MEDICAID 1528209574

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