NPI Profile for GAYLE M ELLIS in MADISON, WI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health |
163WP0808X | |||
Clinical |
103TC0700X | 62 | Psychologist, Clinical | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner |
| NPI # | 1295890259 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/27/2006 | |
| Last updated | 09/11/2025 - About 9 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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GAYLE M ELLIS
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