Individual
ELLEN ANN BERNARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-6963
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
0116
MN
363LA2100X
Acute Care Nurse Practitioner
116
MN
363LA2200X
Adult Health Nurse Practitioner
116
MN
Other
Enumeration date
06/22/2006
Last updated
02/11/2025
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