Individual
MRS. ELLIE FLANNERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
5046 EVEREST LN N, PLYMOUTH, MN 55446-4520
(612) 669-8725
Mailing address
5046 EVEREST LN N, PLYMOUTH, MN 55446-4520
(612) 669-8725
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20091436
MN
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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