Mrs Ellen Luciel Eddleman, APNP - Nurse Practitioner in Manitowoc, WI

Mrs Ellen Luciel Eddleman, APNP is a Nurse Practitioner based in Manitowoc, Wisconsin. Mrs Ellen Luciel Eddleman is licensed to practice in Wisconsin (license number 3162-033) and her current practice location is 1100 S 30th St, Manitowoc, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (920) 684-1332.

NPI number for Mrs Ellen Luciel Eddleman is 1407029036 and her current mailing address is 1613 Carmen Ave, Sheboygan, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407029036.

Contact Information

Mrs Ellen Luciel Eddleman, APNP
1100 S 30th St,
Manitowoc, WI 54220-5594
(920) 684-1332
(920) 684-3651



Provider's Profile

Full NameMrs Ellen Luciel Eddleman
GenderFemale
SpecialityNurse Practitioner
Location1100 S 30th St, Manitowoc, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1407029036
  • Provider Enumeration Date: 04/03/2008
  • Last Update Date: 04/03/2008

Medical Identifiers

Medical identifiers for Mrs Ellen Luciel Eddleman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407029036NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 3162-033 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Ellen Luciel Eddleman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Ellen Luciel Eddleman, APNP
1613 Carmen Ave,
Sheboygan, WI 53081-7525

Ph: (920) 451-6858
Mrs Ellen Luciel Eddleman, APNP
1100 S 30th St,
Manitowoc, WI 54220-5594

Ph: (920) 684-1332

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› Verified 9 days ago


Nurse Practitioner Nurses in Manitowoc, WI

Barbara J Backus, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1650 S 41st St, Manitowoc, WI 54220
Phone: 920-320-4500    Fax: 920-682-9378
Jessica L Lietzan, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1650 S 41st St, Manitowoc, WI 54220
Phone: 920-320-2436    
Veronica Mcfarlane, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1650 S 41st St, Manitowoc, WI 54220
Phone: 920-320-2436    
Brenda Stallbaum, APNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 339 Reed Ave, Manitowoc, WI 54220
Phone: 920-320-8600    
Angela R Vandewettering, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1111 Bayshore Dr, Manitowoc, WI 54220
Phone: 920-682-6376    
Andrew Allen Malkowski, APNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 926 S 8th St, Manitowoc, WI 54220
Phone: 920-683-4230    Fax: 920-683-4902
Nicole Amber Meissner, AGNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2409 S Alverno Rd, Manitowoc, WI 54220
Phone: 920-901-4420    Fax: 920-682-4243

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