Individual
MS. ELLEN A CONNOLLY-ECKHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1885 PLAZA DR, EAGAN, MN 55122-2612
(952) 993-4001
Mailing address
6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 55426-1728
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R 1022090
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
592598300
—
MN
Enumeration date
12/30/2005
Last updated
03/23/2020
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