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Miles Ellsworth, SRNA
Critical Care Medicine Registered Nurse in Marshfield, Wisconsin
NPI 1841703402

Miles Ellsworth is a Critical Care Medicine Registered Nurse based in Naples, WI and is specialized in Critical Care Medicine. Miles Ellsworth practices in Marshfield, WI and has the professional credentials of SRNA. The NPI Number for Miles Ellsworth is 1841703402 and holds a License No. RN9418207 (Wisconsin).

The current practice location address for Miles Ellsworth is 1000 N Oak Ave, Marshfield, WI and can be reached out via phone at 715-387-5511.

Location: 1000 N Oak Ave, Marshfield, WI, 34110-3269
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841703402
Provider Name
Miles Ellsworth
Credential
SRNA
Provider Entity Type
Individual
Gender
Male
Address
1000 N Oak Ave, Marshfield, WI, 34110-3269
Phone Number
715-387-5511
Fax Number
Provider Enumeration Date
11/06/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1000 N Oak Ave
City
Marshfield
State
Wisconsin
Zip
54449-5703
Phone Number
715-387-5511
Fax Number
person
Provider Business Mailing Address Details
Address
1000 N Oak Ave
City
Marshfield
State
Wisconsin
Zip
54449-5703
Phone Number
715-387-5511
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Critical Care Medicine
Taxonomy
163WC0200X
License No.
4704295031 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
RN9418207 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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