| Judith M Ellington, NP | |
|
530 Wi Dells Pkwy S, Lake Delton, WI 53940-0390 | |
| (608) 254-5400 | |
| (608) 253-8585 |
| Full Name | Judith M Ellington |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 530 Wi Dells Pkwy S, Lake Delton, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720044035 | NPI | - | NPPES |
| 1720044035 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 49722-030 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | 49722 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Judith M Ellington, NP 530 Wi Dells Parkway South, Lake Delton, WI 53940-0390 Ph: (608) 254-5400 | Judith M Ellington, NP 530 Wi Dells Pkwy S, Lake Delton, WI 53940-0390 Ph: (608) 254-5400 |
Jacqueline M Ashline-schultz, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 530 Wi Dells Pkwy S, Lake Delton, WI 53940 Phone: 608-254-5400 Fax: 608-253-8585 |