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ELLEN MARIE VANDER GALIEN
NPI 1003918517
Nurse Practitioner - Family in Beaver Dam, WI

Active since September 04, 2006
148 WARREN ST, BEAVER DAM, WI 53916(920) 887-7692 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ellen Marie Vander Galien NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN MARIE VANDER GALIEN (NPI 1003918517) is an individual family provider in Beaver Dam, Wisconsin, licensed in Wisconsin (895-033) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1003918517
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELLEN MARIE VANDER GALIEN
Location Address148 WARREN STBeaver Dam, WI 53916-3061
Mailing Address650 N 1st StRandolph, WI 53956-1006 · (920) 326-3319
Phone(920) 887-7692
Sole ProprietorNo
Enumeration DateSeptember 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003918517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 895-033
148 WARREN ST, Beaver Dam, WI 53916
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Other Identifiers 1

Medicare UPINS55590WI

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ST. MARYS DEAN VENTURES INC.
Durable Medical Equipment & Medical Supplies
148 WARREN ST, STE A
BEAVER DAM, WI 53916
Dodge County (920) 887-7731

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Vander Galien's NPI number?

The NPI number for Ellen Vander Galien is 1003918517. It was assigned to this individual provider in the NPPES registry on September 4, 2006.

Where is Ellen Vander Galien located?

Ellen Vander Galien practices at 148 Warren St, Beaver Dam, WI 53916. The listed phone number is (920) 887-7692.

What is Ellen Vander Galien's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Ellen Vander Galien was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.