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NPI Code Detail

MEDICARE: MORGAN LYNN ELSASSER

MEDICARE: MORGAN LYNN ELSASSER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner11947-33WI

General Provider Information

NPI Number : 1588301477
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN LYNN ELSASSER
Provider Business Mailing Address
First Line : 805 1ST CENTER AVE
Second Line :
City : BRODHEAD
State : WI
Zip : 53520-1303
Country : US
Telephone Number : 815-291-8273
Fax Number :
Provider Business Practice Location Address
First Line : 500 W MONROE ST STE 28
Second Line :
City : CHICAGO
State : IL
Zip : 60661-3777
Country : US
Telephone Number : 877-751-5783
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2022
Last Update Date : 05/12/2022

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Directions to “ MORGAN LYNN ELSASSER ” Practice Location

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